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 $1,779.96 / $3,051.48 / $11,052.30	Professional		$1,779.96	$3,051.48	$11,052.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,214.14 / $4,852.85 / $5,451.30	Professional		$4,214.14	$4,852.85	$5,451.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.62 / $3,031.15 / $6,247.68	Professional		$1,911.62	$3,031.15	$6,247.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,902.82 / $4,852.85 / $7,305.00	Facility		$2,902.82	$4,852.85	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,338.76 / $4,716.51 / $8,593.71	Professional		$2,338.76	$4,716.51	$8,593.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,574.68 / $4,446.10 / $5,979.91	Facility		$3,574.68	$4,446.10	$5,979.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,532.00 / $4,446.10 / $5,979.91	Professional		$3,532.00	$4,446.10	$5,979.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,072.98 / $3,311.52 / $4,162.00	Professional		$2,072.98	$3,311.52	$4,162.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $6,110.41 / $7,305.00	Facility		$2,126.00	$6,110.41	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,241.32 / $4,014.88 / $6,451.09	Professional		$2,241.32	$4,014.88	$6,451.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,220.20 / $4,076.20 / $4,795.60	Professional		$3,220.20	$4,076.20	$4,795.60