Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77,820.00 / $77,820.00 / $84,444.80	Facility		$77,820.00	$77,820.00	$84,444.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $172,361.00	Professional		$55,272.32	$55,272.32	$172,361.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $58,092.90 / $72,616.13	Professional		$55,272.32	$58,092.90	$72,616.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46,981.47 / $55,272.32 / $96,779.81	Professional		$46,981.47	$55,272.32	$96,779.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $51,400.09 / $68,420.52 / $94,548.69	Facility		$51,400.09	$68,420.52	$94,548.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $55,945.97 / $61,540.57 / $245,198.88	Professional		$55,945.97	$61,540.57	$245,198.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63,311.61 / $83,304.75 / $104,181.99	Facility		$63,311.61	$83,304.75	$104,181.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41,228.79 / $68,420.52 / $84,924.36	Professional		$41,228.79	$68,420.52	$84,924.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54,404.11 / $109,444.62 / $115,459.35	Professional		$54,404.11	$109,444.62	$115,459.35
United Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $65,774.06	Professional		$55,272.32	$55,272.32	$65,774.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55,945.97 / $55,945.97 / $55,945.97	Facility		$55,945.97	$55,945.97	$55,945.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44,197.32 / $55,945.97 / $55,945.97	Professional		$44,197.32	$55,945.97	$55,945.97