Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $3,646.73	Facility		$0.02	$0.03	$3,646.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,688.30 / $15,031.10 / $15,031.10	Professional		$2,688.30	$15,031.10	$15,031.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,807.50 / $4,245.81 / $5,307.26	Professional		$2,807.50	$4,245.81	$5,307.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.69 / $3,151.30 / $4,090.89	Professional		$2,173.69	$3,151.30	$4,090.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $3,016.58 / $6,241.53	Facility		$2,337.65	$3,016.58	$6,241.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,402.59 / $2,337.65 / $9,196.51	Professional		$1,402.59	$2,337.65	$9,196.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,805.18 / $4,286.31 / $6,790.72	Facility		$2,805.18	$4,286.31	$6,790.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,805.18 / $4,286.31 / $5,961.01	Professional		$2,805.18	$4,286.31	$5,961.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $4,172.71	Professional		$2,337.65	$2,337.65	$4,172.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,337.65	Facility		$2,337.65	$2,337.65	$2,337.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.59 / $1,402.59 / $4,786.34	Professional		$1,402.59	$1,402.59	$4,786.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,337.65	Professional		$2,337.65	$2,337.65	$2,337.65