Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $52,480.75 / $83,176.38	Facility		$43,651.58	$52,480.75	$83,176.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $44,668.36 / $66,069.34	Professional		$43,651.58	$44,668.36	$66,069.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $57,543.99	Professional		$43,651.58	$43,651.58	$57,543.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37,153.52 / $47,863.01 / $75,857.76	Professional		$37,153.52	$47,863.01	$75,857.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $45,708.82 / $75,857.76	Facility		$28,840.32	$45,708.82	$75,857.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $45,708.82 / $50,118.72 / $199,526.23	Professional		$45,708.82	$50,118.72	$199,526.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41,686.94 / $58,884.37 / $69,183.10	Professional		$41,686.94	$58,884.37	$69,183.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $60,255.96 / $104,712.85	Professional		$19,952.62	$60,255.96	$104,712.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $29,512.09 / $81,283.05	Professional		$28,183.83	$29,512.09	$81,283.05
United Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility		$43,651.58	$43,651.58	$43,651.58
United Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $44,668.36 / $51,286.14	Professional		$43,651.58	$44,668.36	$51,286.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $48,977.88	Facility		$48,977.88	$48,977.88	$48,977.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $48,977.88 / $48,977.88	Professional		$38,904.51	$48,977.88	$48,977.88