Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,002.09 / $5,840.28 / $8,169.23	Facility		$3,002.09	$5,840.28	$8,169.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,113.75 / $8,113.75 / $8,113.75	Professional		$8,113.75	$8,113.75	$8,113.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,602.51 / $5,452.84 / $6,816.05	Professional		$3,602.51	$5,452.84	$6,816.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,551.78 / $4,052.82 / $15,344.03	Professional		$2,551.78	$4,052.82	$15,344.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,002.09 / $3,873.99 / $7,685.35	Facility		$3,002.09	$3,873.99	$7,685.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,801.25 / $2,014.40 / $11,279.66	Professional		$1,801.25	$2,014.40	$11,279.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,602.51 / $4,202.93 / $6,579.33	Facility		$3,602.51	$4,202.93	$6,579.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,602.51 / $5,490.07 / $7,835.45	Professional		$3,602.51	$5,490.07	$7,835.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,921.03 / $3,002.09 / $5,358.73	Professional		$2,921.03	$3,002.09	$5,358.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,801.25 / $1,801.25 / $5,553.87	Professional		$1,801.25	$1,801.25	$5,553.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $3,002.09	Professional		$3,002.09	$3,002.09	$3,002.09