Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,026.18 / $3,273.17 / $3,273.17	Professional		$2,026.18	$3,273.17	$3,273.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,580.10 / $5,217.28 / $6,169.50	Professional		$4,580.10	$5,217.28	$6,169.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.77 / $3,382.56 / $5,882.69	Professional		$2,142.77	$3,382.56	$5,882.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,606.92 / $5,040.68 / $6,627.58	Facility		$2,606.92	$5,040.68	$6,627.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,616.00 / $5,217.28 / $16,579.20	Professional		$2,616.00	$5,217.28	$16,579.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,498.44 / $5,028.35 / $6,809.75	Facility		$3,498.44	$5,028.35	$6,809.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,928.81 / $5,028.35 / $6,169.50	Professional		$2,928.81	$5,028.35	$6,169.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.50 / $3,753.58 / $4,720.09	Professional		$2,319.50	$3,753.58	$4,720.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,533.19 / $5,182.82 / $7,170.68	Professional		$2,533.19	$5,182.82	$7,170.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,257.70 / $4,257.70 / $5,009.00	Professional		$4,257.70	$4,257.70	$5,009.00