Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $616.60 / $1,071.52	Professional		$75.86	$616.60	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,348.96 / $1,862.09	Professional		$181.97	$1,348.96	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $912.01 / $2,089.30	Professional		$81.28	$912.01	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,288.25 / $2,398.83	Professional		$213.80	$1,288.25	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,258.93 / $1,819.70	Professional		$177.83	$1,258.93	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $1,995.26	Professional		$158.49	$218.78	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,659.59 / $1,995.26	Professional		$3.02	$1,659.59	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $676.08 / $1,819.70	Professional		$95.50	$676.08	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $1,412.54	Professional		$154.88	$181.97	$1,412.54