Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $2,990.14 / $4,182.52	Facility		$1,537.02	$2,990.14	$4,182.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.21 / $1,337.21 / $1,490.91	Professional		$1,337.21	$1,337.21	$1,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.95 / $2,792.03 / $3,490.03	Professional		$1,845.95	$2,792.03	$3,490.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.47 / $2,074.98 / $2,782.01	Professional		$1,306.47	$2,074.98	$2,782.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,983.42 / $3,934.77	Facility		$1,537.02	$1,983.42	$3,934.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.21 / $952.95 / $4,960.12	Professional		$922.21	$952.95	$4,960.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,844.42 / $2,151.83 / $3,166.26	Facility		$1,844.42	$2,151.83	$3,166.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,844.42 / $2,336.27 / $3,166.26	Professional		$1,844.42	$2,336.27	$3,166.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $2,743.58	Professional		$1,537.02	$1,537.02	$2,743.58
United Facility/Professional Professional Modifier Low / Median / High Price $922.21 / $922.21 / $3,350.70	Professional		$922.21	$922.21	$3,350.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,537.02	Professional		$1,537.02	$1,537.02	$1,537.02