Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $15,848.93 / $18,620.87	Facility		$6,760.83	$15,848.93	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $6,760.83	Professional		$4,677.35	$5,248.07	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $16,218.10	Professional		$12,882.50	$12,882.50	$16,218.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $8,709.64 / $12,302.69	Professional		$151.36	$8,709.64	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $15,488.17	Facility		$6,760.83	$8,128.31	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,760.83 / $26,915.35	Professional		$4,073.80	$6,760.83	$26,915.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,244.36 / $14,454.40	Professional		$6,760.83	$7,244.36	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $15,488.17	Facility		$6,760.83	$6,760.83	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $16,982.44	Professional		$4,073.80	$4,073.80	$16,982.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83