Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $7,625.99 / $10,667.00	Facility		$3,920.00	$7,625.99	$10,667.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,587.19 / $3,410.40 / $3,802.40	Professional		$2,587.19	$3,410.40	$3,802.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $7,120.09 / $8,900.11	Professional		$4,704.00	$7,120.09	$8,900.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $3,941.46 / $5,284.48	Professional		$2,481.66	$3,941.46	$5,284.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,724.00 / $5,101.10 / $15,961.86	Facility		$3,724.00	$5,101.10	$15,961.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,352.00 / $2,495.08 / $15,735.66	Professional		$2,352.00	$2,495.08	$15,735.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $6,860.00 / $10,115.76	Facility		$4,704.00	$6,860.00	$10,115.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,704.00 / $6,860.00 / $15,312.60	Professional		$4,704.00	$6,860.00	$15,312.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,590.00 / $3,920.00 / $6,997.20	Professional		$3,590.00	$3,920.00	$6,997.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,352.00 / $2,352.00 / $12,650.23	Professional		$2,352.00	$2,352.00	$12,650.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60