Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $3,392.69 / $4,745.60	Facility		$1,743.95	$3,392.69	$4,745.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,713.37 / $4,713.37 / $4,713.37	Professional		$4,713.37	$4,713.37	$4,713.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,018.54 / $3,109.10 / $3,199.65	Facility		$3,018.54	$3,109.10	$3,199.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.46 / $3,167.39 / $3,959.23	Professional		$2,094.46	$3,167.39	$3,959.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $2,354.33 / $8,913.52	Professional		$1,482.36	$2,354.33	$8,913.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,094.46 / $4,011.09	Facility		$1,743.95	$2,094.46	$4,011.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $750.16 / $4,487.80	Professional		$670.79	$750.16	$4,487.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,854.35 / $2,250.44 / $3,592.54	Facility		$1,854.35	$2,250.44	$3,592.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,592.78 / $2,199.94 / $3,822.01	Professional		$1,592.78	$2,199.94	$3,822.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $3,112.95	Professional		$1,743.95	$1,743.95	$3,112.95
United Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $670.79 / $2,437.19	Professional		$670.79	$670.79	$2,437.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $1,743.95	Professional		$1,743.95	$1,743.95	$1,743.95