Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $7,534.55 / $10,539.10	Facility		$3,873.00	$7,534.55	$10,539.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,556.17 / $2,982.21 / $3,756.81	Professional		$2,556.17	$2,982.21	$3,756.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $7,034.57 / $8,793.21	Professional		$4,647.60	$7,034.57	$8,793.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $4,260.30 / $7,010.13	Professional		$150.00	$4,260.30	$7,010.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,005.85 / $9,914.87	Facility		$3,873.00	$5,005.85	$9,914.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $2,401.26 / $12,498.56	Professional		$2,323.80	$2,401.26	$12,498.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $5,422.20 / $8,488.01	Facility		$4,647.60	$5,422.20	$8,488.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $6,777.75 / $9,062.82	Professional		$4,647.60	$6,777.75	$9,062.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $6,913.31	Professional		$3,873.00	$3,873.00	$6,913.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $2,323.80 / $7,929.97	Professional		$2,323.80	$2,323.80	$7,929.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Professional		$3,873.00	$3,873.00	$3,873.00