Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $8,912.51	Facility		$2,511.89	$6,165.95	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,235.94	Professional		$2,290.87	$2,570.40	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,762.47	Professional		$6,165.95	$6,165.95	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,168.69 / $5,888.44	Professional		$151.36	$4,168.69	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $7,413.10	Facility		$3,235.94	$3,890.45	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $12,882.50	Professional		$1,949.84	$3,235.94	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $6,918.31	Professional		$3,235.94	$3,467.37	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $7,413.10	Facility		$3,235.94	$3,235.94	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $8,128.31	Professional		$1,949.84	$1,949.84	$8,128.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94