Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $4,227.52	Facility		$0.02	$0.03	$4,227.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,116.44 / $17,425.00 / $17,425.00	Professional		$3,116.44	$17,425.00	$17,425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,254.62 / $4,922.10 / $6,152.64	Professional		$3,254.62	$4,922.10	$6,152.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.60 / $3,522.94 / $4,742.41	Professional		$2,424.60	$3,522.94	$4,742.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $3,497.01 / $7,235.57	Facility		$2,709.95	$3,497.01	$7,235.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $2,709.95 / $10,661.17	Professional		$1,625.97	$2,709.95	$10,661.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $4,968.95 / $7,872.22	Facility		$3,251.94	$4,968.95	$7,872.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,251.94 / $4,968.95 / $6,910.37	Professional		$3,251.94	$4,968.95	$6,910.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $4,837.26	Professional		$2,709.95	$2,709.95	$4,837.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $1,625.97 / $5,907.69	Professional		$1,625.97	$1,625.97	$5,907.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,709.95	Professional		$2,709.95	$2,709.95	$2,709.95