Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,019.95	Professional		$1,096.48	$1,412.54	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,467.37	Professional		$2,630.27	$2,754.23	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $5,011.87	Professional		$1,174.90	$2,041.74	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $7,079.46	Facility		$1,621.81	$2,754.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $9,772.37	Professional		$1,380.38	$2,344.23	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,981.07	Professional		$2,630.27	$2,754.23	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,235.94	Professional		$2,290.87	$3,162.28	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $2,511.89 / $2,951.21	Professional		$18.20	$2,511.89	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,548.13	Professional		$1,258.93	$1,862.09	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27