Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.03 / $1,288.52 / $2,248.96	Professional		$557.03	$1,288.52	$2,248.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.34 / $2,900.27 / $4,881.06	Professional		$841.34	$2,900.27	$4,881.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $1,804.85 / $6,608.83	Professional		$352.35	$1,804.85	$6,608.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,013.64 / $3,752.03 / $20,549.21	Professional		$1,013.64	$3,752.03	$20,549.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $841.34 / $2,900.27 / $4,801.84	Professional		$841.34	$2,900.27	$4,801.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,886.90 / $4,335.00	Professional		$5.00	$3,886.90	$4,335.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,699.12 / $3,426.55 / $5,052.62	Professional		$1,699.12	$3,426.55	$5,052.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $872.80 / $3,008.70	Professional		$741.90	$872.80	$3,008.70