Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $610.80 / $957.85	Professional		$119.31	$610.80	$957.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $1,265.33 / $1,838.68	Professional		$179.19	$1,265.33	$1,838.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $723.32 / $1,755.42	Professional		$75.69	$723.32	$1,755.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $1,627.47 / $2,624.89	Professional		$215.70	$1,627.47	$2,624.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $1,258.10 / $1,990.80	Professional		$176.85	$1,258.10	$1,990.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,503.60 / $1,873.20	Professional		$3.00	$1,503.60	$1,873.20
United Facility/Professional Professional Modifier Low / Median / High Price $796.42 / $1,469.85 / $2,254.42	Professional		$796.42	$1,469.85	$2,254.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $183.50 / $1,404.30	Professional		$155.90	$183.50	$1,404.30