Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,288.25 / $2,398.83	Professional		$371.54	$1,288.25	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $3,981.07	Professional		$891.25	$1,122.02	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,290.87 / $8,511.38	Professional		$380.19	$2,290.87	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $12,882.50	Professional		$1,000.00	$3,548.13	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,884.03 / $3,801.89	Professional		$831.76	$2,884.03	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $4,073.80	Professional		$1,000.00	$1,174.90	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,890.45 / $4,786.30	Professional		$5.01	$3,890.45	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,548.82 / $4,570.88	Professional		$467.74	$1,548.82	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $3,019.95	Professional		$741.31	$870.96	$3,019.95