Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $949.68 / $3,834.80	Professional		$650.94	$949.68	$3,834.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.56 / $1,645.69 / $2,217.03	Professional		$1,195.56	$1,645.69	$2,217.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $889.03 / $4,114.04	Professional		$653.12	$889.03	$4,114.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $1,310.52 / $5,712.10	Professional		$536.75	$1,310.52	$5,712.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.26 / $1,445.87 / $1,941.99	Professional		$963.26	$1,445.87	$1,941.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $680.30 / $1,211.39 / $1,395.28	Professional		$680.30	$1,211.39	$1,395.28
United Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $867.93 / $1,839.50	Professional		$536.75	$867.93	$1,839.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,213.44 / $1,536.00 / $1,807.10	Professional		$1,213.44	$1,536.00	$1,807.10