Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $7,943.28	Facility		$2,454.71	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,365.16	Professional		$1,445.44	$2,089.30	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,466.84	Professional		$3,548.13	$3,890.45	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $5,248.07	Professional		$1,513.56	$2,630.27	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $7,244.36	Facility		$2,454.71	$3,890.45	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $5,623.41	Professional		$1,862.09	$3,311.31	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,754.40	Professional		$3,548.13	$4,365.16	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,365.16	Professional		$3,311.31	$3,311.31	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $3,981.07	Professional		$1,698.24	$3,019.95	$3,981.07
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 $1,698.24 / $2,570.40 / $5,128.61	Professional		$1,698.24	$2,570.40	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,890.45	Professional		$2,570.40	$3,311.31	$3,890.45