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 $3,241.14 / $4,328.81 / $5,665.72	Professional		$3,241.14	$4,328.81	$5,665.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,985.46 / $5,244.00 / $8,982.15	Facility		$2,985.46	$5,244.00	$8,982.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,540.94 / $8,983.41 / $42,198.16	Professional		$6,540.94	$8,983.41	$42,198.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,203.06 / $8,983.41 / $8,983.41	Facility		$7,203.06	$8,983.41	$8,983.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,540.94 / $7,009.00 / $8,983.41	Professional		$6,540.94	$7,009.00	$8,983.41
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 $5,071.33 / $6,419.40 / $7,552.30	Professional		$5,071.33	$6,419.40	$7,552.30