Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,183.13 / $8,137.88 / $11,383.00	Facility		$4,183.13	$8,137.88	$11,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,760.87 / $3,221.01 / $4,057.64	Professional		$2,760.87	$3,221.01	$4,057.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,019.76 / $5,019.76 / $5,019.76	Facility		$5,019.76	$5,019.76	$5,019.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,438.07 / $7,597.94 / $9,497.42	Professional		$5,438.07	$7,597.94	$9,497.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $4,601.43 / $7,571.47	Professional		$150.00	$4,601.43	$7,571.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,183.13 / $5,019.76 / $11,505.45	Facility		$4,183.13	$5,019.76	$11,505.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $2,509.88 / $16,791.91	Professional		$2,509.88	$2,509.88	$16,791.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,019.76 / $5,438.07 / $11,505.45	Facility		$5,019.76	$5,438.07	$11,505.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,019.76 / $5,438.07 / $11,505.45	Professional		$5,019.76	$5,438.07	$11,505.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $4,183.13 / $7,466.89	Professional		$4,183.13	$4,183.13	$7,466.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $2,509.88 / $7,738.79	Professional		$2,509.88	$2,509.88	$7,738.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $4,183.13 / $4,183.13	Professional		$4,183.13	$4,183.13	$4,183.13