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 $1,677.16 / $2,857.73 / $10,684.90	Professional		$1,677.16	$2,857.73	$10,684.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,016.26 / $4,531.58 / $5,091.77	Professional		$4,016.26	$4,531.58	$5,091.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.47 / $2,754.64 / $5,751.04	Professional		$1,759.47	$2,754.64	$5,751.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,537.10 / $4,400.89 / $7,305.00	Facility		$2,537.10	$4,400.89	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,180.21 / $4,340.96 / $9,051.82	Professional		$2,180.21	$4,340.96	$9,051.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,902.46 / $4,133.88 / $5,625.29	Facility		$2,902.46	$4,133.88	$5,625.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,902.46 / $4,133.88 / $5,625.29	Professional		$2,902.46	$4,133.88	$5,625.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.31 / $3,101.46 / $3,782.33	Professional		$1,896.31	$3,101.46	$3,782.33
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 $2,089.38 / $4,180.32 / $5,998.47	Professional		$2,089.38	$4,180.32	$5,998.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,994.10 / $3,790.00 / $4,458.80	Professional		$2,994.10	$3,790.00	$4,458.80