Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,278.70 / $6,278.70 / $13,977.50	Facility		$6,278.70	$6,278.70	$13,977.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $6,278.70	Professional		$5,817.60	$6,035.76	$6,278.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.28 / $2,713.13 / $6,181.20	Professional		$926.28	$2,713.13	$6,181.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.93 / $2,574.46 / $6,198.45	Professional		$1,087.93	$2,574.46	$6,198.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $894.17 / $5,817.60 / $7,688.85	Facility		$894.17	$5,817.60	$7,688.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.98 / $6,423.60 / $25,314.69	Professional		$1,601.98	$6,423.60	$25,314.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $863.65 / $1,079.57 / $8,747.08	Facility		$863.65	$1,079.57	$8,747.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $1,079.57 / $2,000.08	Professional		$863.65	$1,079.57	$2,000.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $2,007.60 / $2,530.40	Professional		$27.40	$2,007.60	$2,530.40
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,241.80 / $7,211.40	Professional		$6,060.00	$6,241.80	$7,211.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7,029.60 / $7,029.60 / $7,029.60	Facility		$7,029.60	$7,029.60	$7,029.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,553.38 / $7,029.60 / $7,029.60	Professional		$5,553.38	$7,029.60	$7,029.60