Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,786.30 / $7,079.46	Facility		$1,862.09	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,090.30	Professional		$1,174.90	$1,513.56	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $3,630.78	Professional		$2,691.53	$2,884.03	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $5,754.40	Professional		$1,230.27	$2,041.74	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,888.44 / $16,218.10	Facility		$1,905.46	$5,888.44	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $9,332.54	Professional		$1,380.38	$2,570.40	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,890.45	Professional		$2,570.40	$2,754.23	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,388.44	Professional		$2,570.40	$3,311.31	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,235.94 / $3,890.45	Professional		$5.01	$3,235.94	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,548.13	Professional		$1,258.93	$1,905.46	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53