Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $7,848.67	Facility		$0.02	$0.03	$7,848.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,785.88 / $32,350.60 / $32,350.60	Professional		$5,785.88	$32,350.60	$32,350.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,042.43 / $9,138.54 / $11,423.18	Professional		$6,042.43	$9,138.54	$11,423.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,604.39 / $6,675.21 / $8,804.60	Professional		$4,604.39	$6,675.21	$8,804.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,031.20 / $6,492.42 / $13,433.30	Facility		$5,031.20	$6,492.42	$13,433.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,018.72 / $5,031.20 / $19,793.13	Professional		$3,018.72	$5,031.20	$19,793.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,037.44 / $9,225.20 / $14,615.28	Facility		$6,037.44	$9,225.20	$14,615.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,037.44 / $9,225.20 / $12,829.56	Professional		$6,037.44	$9,225.20	$12,829.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $5,031.20 / $8,980.69	Professional		$5,031.20	$5,031.20	$8,980.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,018.72 / $3,018.72 / $16,236.19	Professional		$3,018.72	$3,018.72	$16,236.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $5,031.20 / $5,031.20	Professional		$5,031.20	$5,031.20	$5,031.20