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 $1,506.27 / $2,427.41 / $2,427.41	Professional		$1,506.27	$2,427.41	$2,427.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,369.62 / $3,727.04 / $4,560.17	Professional		$3,369.62	$3,727.04	$4,560.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.24 / $2,458.02 / $4,201.09	Professional		$1,434.24	$2,458.02	$4,201.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,854.03 / $3,751.14 / $6,608.00	Facility		$1,854.03	$3,751.14	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,783.87 / $3,787.59 / $12,296.88	Professional		$1,783.87	$3,787.59	$12,296.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,583.27 / $3,727.04 / $5,022.93	Facility		$2,583.27	$3,727.04	$5,022.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,017.50 / $3,572.06 / $4,560.17	Professional		$2,017.50	$3,572.06	$4,560.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $3,062.00 / $4,252.70	Professional		$12.00	$3,062.00	$4,252.70
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 $1,864.96 / $3,705.25 / $5,279.12	Professional		$1,864.96	$3,705.25	$5,279.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,155.80 / $3,155.80 / $3,712.70	Professional		$3,155.80	$3,155.80	$3,712.70