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 $1,109.88 / $1,891.85 / $7,076.73	Professional		$1,109.88	$1,891.85	$7,076.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,678.55 / $3,084.20 / $3,368.78	Professional		$2,678.55	$3,084.20	$3,368.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.58 / $1,993.41 / $2,999.34	Professional		$1,168.58	$1,993.41	$2,999.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,167.73 / $3,084.20 / $7,305.00	Facility		$2,167.73	$3,084.20	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.24 / $2,867.24 / $5,061.88	Professional		$1,429.24	$2,867.24	$5,061.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,990.58 / $2,844.53 / $3,720.47	Facility		$1,990.58	$2,844.53	$3,720.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,990.58 / $2,757.62 / $3,720.47	Professional		$1,990.58	$2,757.62	$3,720.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.08 / $2,060.59 / $2,527.38	Professional		$1,262.08	$2,060.59	$2,527.38
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 $1,369.68 / $2,758.39 / $3,999.43	Professional		$1,369.68	$2,758.39	$3,999.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,997.28 / $2,528.19 / $2,974.40	Professional		$1,997.28	$2,528.19	$2,974.40