Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.27 / $1,681.48 / $1,867.40	Professional		$1,050.27	$1,681.48	$1,867.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,126.00 / $2,658.29 / $3,322.86	Professional		$2,126.00	$2,658.29	$3,322.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.35 / $1,705.95 / $3,405.63	Professional		$1,072.35	$1,705.95	$3,405.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,771.56 / $2,808.13 / $7,896.02	Facility		$1,771.56	$2,808.13	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,196.33 / $2,270.94 / $8,720.71	Professional		$1,196.33	$2,270.94	$8,720.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $2,597.51 / $3,335.84	Facility		$2,126.00	$2,597.51	$3,335.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,700.90 / $2,550.44 / $3,335.84	Professional		$1,700.90	$2,550.44	$3,335.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.30 / $2,104.00 / $3,259.56	Professional		$1,137.30	$2,104.00	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.33 / $1,740.11 / $3,540.37	Professional		$1,196.33	$1,740.11	$3,540.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,809.42 / $2,290.40 / $2,694.60	Professional		$1,809.42	$2,290.40	$2,694.60