Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $3,949.17 / $5,524.00	Facility		$2,030.00	$3,949.17	$5,524.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.80 / $1,563.10 / $1,969.10	Professional		$1,339.80	$1,563.10	$1,969.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,687.01 / $4,608.77	Professional		$2,436.00	$3,687.01	$4,608.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.50 / $2,740.50 / $3,674.30	Professional		$1,725.50	$2,740.50	$3,674.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,639.00 / $5,583.39	Facility		$2,030.00	$2,639.00	$5,583.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,292.09 / $7,929.74	Professional		$1,218.00	$1,292.09	$7,929.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,552.50 / $5,238.52	Facility		$2,436.00	$3,552.50	$5,238.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,552.50 / $5,583.39	Professional		$2,436.00	$3,552.50	$5,583.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $3,623.55	Professional		$2,030.00	$2,030.00	$3,623.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $5,133.87	Professional		$1,218.00	$1,218.00	$5,133.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Professional		$2,030.00	$2,030.00	$2,030.00