Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $32,359.37 / $56,234.13	Facility		$28,183.83	$32,359.37	$56,234.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $44,668.36	Professional		$28,183.83	$28,840.32	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $36,307.81	Professional		$28,183.83	$28,840.32	$36,307.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $28,183.83 / $42,657.95	Professional		$9,332.54	$28,183.83	$42,657.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $28,183.83 / $46,773.51	Facility		$3,890.45	$28,183.83	$46,773.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $30,199.52 / $120,226.44	Professional		$26,915.35	$30,199.52	$120,226.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $33,113.11 / $42,657.95	Professional		$19,054.61	$33,113.11	$42,657.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $29,512.09 / $51,286.14	Professional		$7,244.36	$29,512.09	$51,286.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $50,118.72 / $60,255.96	Professional		$12,022.64	$50,118.72	$60,255.96
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,884.42	Professional		$28,183.83	$28,183.83	$33,884.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Facility		$30,902.95	$30,902.95	$30,902.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $30,902.95 / $30,902.95	Professional		$24,547.09	$30,902.95	$30,902.95