Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,715.35 / $5,370.32	Facility		$1,479.11	$3,715.35	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,949.84	Professional		$1,348.96	$1,548.82	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $4,677.35	Professional		$2,511.89	$3,715.35	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,511.89 / $3,548.13	Professional		$151.36	$2,511.89	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $4,466.84	Facility		$1,949.84	$2,344.23	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $7,762.47	Professional		$1,174.90	$1,949.84	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,511.89	Professional		$2,344.23	$2,344.23	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $4,168.69	Professional		$1,949.84	$2,089.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,466.84	Facility		$1,949.84	$1,949.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,897.79	Professional		$1,174.90	$1,174.90	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84