Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $3,780.33 / $5,287.82	Facility		$1,943.21	$3,780.33	$5,287.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.59 / $1,690.59 / $1,884.91	Professional		$1,690.59	$1,690.59	$1,884.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.78 / $3,529.04 / $4,411.30	Professional		$2,333.78	$3,529.04	$4,411.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.73 / $2,623.33 / $9,931.95	Professional		$1,651.73	$2,623.33	$9,931.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $2,507.57 / $4,974.62	Facility		$1,943.21	$2,507.57	$4,974.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.93 / $1,204.79 / $6,270.93	Professional		$1,165.93	$1,204.79	$6,270.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,331.85 / $2,720.49 / $4,003.01	Facility		$2,331.85	$2,720.49	$4,003.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,331.85 / $2,953.68 / $4,003.01	Professional		$2,331.85	$2,953.68	$4,003.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $3,468.63	Professional		$1,943.21	$1,943.21	$3,468.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.93 / $1,165.93 / $6,270.93	Professional		$1,165.93	$1,165.93	$6,270.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $1,943.21	Professional		$1,943.21	$1,943.21	$1,943.21