Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Professional		$3,135.99	$3,135.99	$3,135.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,873.43 / $3,838.13 / $5,022.93	Professional		$2,873.43	$3,838.13	$5,022.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,665.59 / $4,898.00 / $7,964.51	Facility		$2,665.59	$4,898.00	$7,964.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,814.10 / $7,964.97 / $42,198.16	Professional		$5,814.10	$7,964.97	$42,198.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,402.65 / $7,964.97 / $7,964.97	Facility		$6,402.65	$7,964.97	$7,964.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,814.10 / $6,230.15 / $7,964.97	Professional		$5,814.10	$6,230.15	$7,964.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,496.43 / $5,691.70 / $6,696.10	Professional		$4,496.43	$5,691.70	$6,696.10