Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $6,760.83	Facility		$2,570.40	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,365.16	Professional		$1,621.81	$2,089.30	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $5,128.61	Professional		$3,801.89	$4,073.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $7,413.10	Professional		$1,584.89	$2,818.38	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $16,218.10	Facility		$2,570.40	$4,786.30	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $12,882.50	Professional		$1,905.46	$3,388.44	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,495.41	Professional		$3,630.78	$3,981.07	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $4,677.35	Professional		$3,388.44	$4,677.35	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,548.13 / $4,570.88	Professional		$6.03	$3,548.13	$4,570.88
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 $1,778.28 / $2,630.27 / $5,011.87	Professional		$1,778.28	$2,630.27	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Professional		$3,162.28	$3,162.28	$3,801.89