Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,230.27	Professional		$512.86	$645.65	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,445.44	Professional		$1,023.29	$1,230.27	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $2,089.30	Professional		$426.58	$741.31	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $4,265.80	Professional		$724.44	$1,258.93	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,778.28	Professional		$1,230.27	$1,445.44	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Professional		$1,230.27	$1,230.27	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $478.63 / $1,023.29	Professional		$85.11	$478.63	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,698.24	Professional		$660.69	$1,023.29	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Professional		$977.24	$977.24	$1,148.15