Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $1,425.84	Facility		$0.02	$0.03	$1,425.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.09 / $5,877.02 / $5,877.02	Professional		$1,051.09	$5,877.02	$5,877.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.70 / $1,660.07 / $2,075.09	Professional		$1,097.70	$1,660.07	$2,075.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.40 / $1,599.50 / $3,109.62	Professional		$1,005.40	$1,599.50	$3,109.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,179.45 / $2,440.38	Facility		$914.00	$1,179.45	$2,440.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.40 / $914.00 / $3,595.75	Professional		$548.40	$914.00	$3,595.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,096.80 / $1,675.91 / $2,655.11	Facility		$1,096.80	$1,675.91	$2,655.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $1,675.91 / $2,330.69	Professional		$1,096.80	$1,675.91	$2,330.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,631.49	Professional		$914.00	$914.00	$1,631.49
United Facility/Professional Professional Modifier Low / Median / High Price $548.40 / $548.40 / $1,871.42	Professional		$548.40	$548.40	$1,871.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $914.00	Professional		$914.00	$914.00	$914.00