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 $1,366.24 / $2,333.48 / $8,583.23	Professional		$1,366.24	$2,333.48	$8,583.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,232.49 / $3,690.22 / $4,152.92	Professional		$3,232.49	$3,690.22	$4,152.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.83 / $2,260.01 / $3,486.03	Professional		$1,440.83	$2,260.01	$3,486.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,593.56 / $7,305.00	Facility		$1,966.00	$3,593.56	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,714.02 / $3,514.28 / $5,760.78	Professional		$1,714.02	$3,514.28	$5,760.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,156.00 / $3,361.68 / $4,596.28	Facility		$2,156.00	$3,361.68	$4,596.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,145.00 / $3,361.68 / $4,334.67	Professional		$2,145.00	$3,361.68	$4,334.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.63 / $2,520.41 / $3,103.17	Professional		$1,556.63	$2,520.41	$3,103.17
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 $1,639.50 / $3,422.49 / $4,851.85	Professional		$1,639.50	$3,422.49	$4,851.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,434.78 / $3,082.00 / $3,625.90	Professional		$2,434.78	$3,082.00	$3,625.90