Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,414.19 / $4,775.67	Facility		$1,755.00	$3,414.19	$4,775.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $1,351.35 / $1,702.35	Professional		$1,158.30	$1,351.35	$1,702.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,106.00	Facility		$2,106.00	$2,106.00	$2,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.34 / $3,187.62 / $3,984.53	Professional		$2,268.34	$3,187.62	$3,984.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,930.50 / $3,176.55	Professional		$150.00	$1,930.50	$3,176.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,106.00 / $4,492.80	Facility		$1,755.00	$2,106.00	$4,492.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $7,044.92	Professional		$1,053.00	$1,053.00	$7,044.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,281.50 / $4,106.70	Facility		$2,106.00	$2,281.50	$4,106.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,281.50 / $4,106.70	Professional		$2,106.00	$2,281.50	$4,106.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $3,132.68	Professional		$1,755.00	$1,755.00	$3,132.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $2,632.50 / $2,632.50	Facility		$2,632.50	$2,632.50	$2,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $3,593.36	Professional		$1,053.00	$1,053.00	$3,593.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00