Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.91 / $648.54 / $1,859.64	Professional		$508.91	$648.54	$1,859.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.24 / $1,234.90 / $1,684.42	Professional		$969.24	$1,234.90	$1,684.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.74 / $720.26 / $1,797.05	Professional		$424.74	$720.26	$1,797.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.07 / $1,388.13 / $4,283.07	Professional		$767.07	$1,388.13	$4,283.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $846.24 / $1,236.58 / $1,761.31	Professional		$846.24	$1,236.58	$1,761.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $470.18 / $871.46	Professional		$82.08	$470.18	$871.46
United Facility/Professional Professional Modifier Low / Median / High Price $697.10 / $1,271.23 / $1,804.03	Professional		$697.10	$1,271.23	$1,804.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $775.94 / $982.20 / $1,155.50	Professional		$775.94	$982.20	$1,155.50