Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,025.60 / $8,912.51	Facility		$2,454.71	$6,025.60	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,090.30	Professional		$2,238.72	$2,511.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,585.78	Professional		$6,165.95	$6,165.95	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,168.69 / $5,754.40	Professional		$151.36	$4,168.69	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $7,413.10	Facility		$3,235.94	$3,801.89	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $12,882.50	Professional		$1,905.46	$3,235.94	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $6,760.83	Professional		$3,235.94	$3,467.37	$6,760.83
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 $1,905.46 / $1,905.46 / $8,128.31	Professional		$1,905.46	$1,905.46	$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