Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,175.77 / $6,175.77 / $7,264.23	Professional		$6,175.77	$6,175.77	$7,264.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.96 / $2,598.94 / $2,762.46	Professional		$2,209.96	$2,598.94	$2,762.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.13 / $1,117.41 / $3,517.48	Professional		$793.13	$1,117.41	$3,517.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.27 / $1,489.02 / $3,383.03	Professional		$967.27	$1,489.02	$3,383.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,545.89 / $1,988.98 / $2,626.80	Professional		$1,545.89	$1,988.98	$2,626.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $827.71 / $964.33 / $1,691.48	Professional		$827.71	$964.33	$1,691.48
United Facility/Professional Professional Modifier Low / Median / High Price $967.27 / $1,160.72 / $1,866.83	Professional		$967.27	$1,160.72	$1,866.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,360.70 / $1,722.40 / $2,026.40	Professional		$1,360.70	$1,722.40	$2,026.40