Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.58 / $1,549.08 / $6,270.76	Professional		$926.58	$1,549.08	$6,270.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.71 / $2,519.46 / $3,149.34	Professional		$1,560.71	$2,519.46	$3,149.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $1,094.76 / $2,627.23	Professional		$423.80	$1,094.76	$2,627.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $695.93 / $1,486.13 / $2,957.99	Professional		$695.93	$1,486.13	$2,957.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $917.23 / $2,078.86 / $2,904.00	Professional		$917.23	$2,078.86	$2,904.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $893.79 / $1,757.06	Professional		$98.03	$893.79	$1,757.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.10 / $1,193.14 / $1,912.15	Professional		$1,027.10	$1,193.14	$1,912.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,552.51 / $1,965.20 / $2,312.00	Professional		$1,552.51	$1,965.20	$2,312.00