Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,715.35	Professional		$1,230.27	$1,737.80	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,715.35	Professional		$3,019.95	$3,235.94	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $7,079.46	Professional		$1,288.25	$2,187.76	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $7,244.36	Facility		$2,344.23	$3,311.31	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $4,786.30	Professional		$1,584.89	$2,818.38	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,897.79	Professional		$3,019.95	$3,311.31	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,311.31	Professional		$1,412.54	$2,511.89	$3,311.31
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 $1,445.44 / $2,187.76 / $4,265.80	Professional		$1,445.44	$2,187.76	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,235.94	Professional		$2,187.76	$2,754.23	$3,235.94