Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $9,549.93	Facility		$3,467.37	$8,317.64	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,467.37	Professional		$2,454.71	$2,951.21	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $4,570.88	Professional		$3,630.78	$4,168.69	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,570.88 / $6,309.57	Professional		$151.36	$4,570.88	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $7,943.28	Facility		$3,467.37	$4,168.69	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $14,125.38	Professional		$2,089.30	$3,467.37	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,466.84	Professional		$4,168.69	$4,168.69	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $7,413.10	Professional		$3,388.44	$3,801.89	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $7,943.28	Facility		$3,467.37	$3,467.37	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $8,912.51	Professional		$2,089.30	$2,089.30	$8,912.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37