Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,676.33 / $2,954.48 / $3,005.95	Professional		$1,676.33	$2,954.48	$3,005.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,387.00 / $4,215.32 / $5,189.59	Professional		$3,387.00	$4,215.32	$5,189.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.51 / $2,840.53 / $4,871.57	Professional		$1,829.51	$2,840.53	$4,871.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,954.48 / $4,579.43 / $12,314.00	Facility		$2,954.48	$4,579.43	$12,314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,973.77 / $3,709.21 / $13,963.92	Professional		$1,973.77	$3,709.21	$13,963.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,387.00 / $4,384.24 / $5,493.63	Facility		$3,387.00	$4,384.24	$5,493.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,795.78 / $4,200.25 / $5,493.63	Professional		$2,795.78	$4,200.25	$5,493.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,023.11 / $3,736.43 / $18,813.77	Professional		$2,023.11	$3,736.43	$18,813.77
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,895.17 / $2,824.98 / $5,261.52	Professional		$1,895.17	$2,824.98	$5,261.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,054.06 / $3,865.90 / $4,548.10	Professional		$3,054.06	$3,865.90	$4,548.10