Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,987.60 / $27,987.60 / $83,215.00	Facility		$27,987.60	$27,987.60	$83,215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,229.71 / $27,987.60	Professional		$22,390.08	$23,229.71	$27,987.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,831.29 / $3,990.00 / $23,789.46	Professional		$2,831.29	$3,990.00	$23,789.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $430.56 / $28,006.78 / $29,771.65	Professional		$430.56	$28,006.78	$29,771.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,831.29 / $24,228.42 / $37,666.46	Facility		$2,831.29	$24,228.42	$37,666.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,592.60 / $24,722.38 / $103,405.50	Professional		$4,592.60	$24,722.38	$103,405.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,639.87 / $3,299.84 / $44,514.91	Facility		$2,639.87	$3,299.84	$44,514.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,639.87 / $3,178.63 / $4,745.70	Professional		$2,639.87	$3,178.63	$4,745.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $3,094.00 / $3,094.00	Professional		$27.40	$3,094.00	$3,094.00
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,022.69 / $27,754.37	Professional		$23,323.00	$24,022.69	$27,754.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27,054.68 / $27,054.68 / $27,054.68	Facility		$27,054.68	$27,054.68	$27,054.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21,373.20 / $27,054.68 / $27,054.68	Professional		$21,373.20	$27,054.68	$27,054.68