Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,079.46	Facility		$1,737.80	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,951.21	Professional		$1,096.48	$1,412.54	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,388.44	Professional		$2,570.40	$2,754.23	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $4,677.35	Professional		$1,148.15	$1,905.46	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,570.88 / $16,218.10	Facility		$1,737.80	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $8,709.64	Professional		$1,258.93	$2,238.72	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,548.13	Professional		$2,344.23	$2,570.40	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $3,235.94	Professional		$2,187.76	$3,162.28	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,238.72 / $3,090.30	Professional		$5.01	$2,238.72	$3,090.30
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 $1,202.26 / $1,737.80 / $3,311.31	Professional		$1,202.26	$1,737.80	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Professional		$2,187.76	$2,187.76	$2,570.40