Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,137.73 / $4,783.38 / $18,493.90	Professional		$3,137.73	$4,783.38	$18,493.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,663.80 / $7,480.92 / $9,556.29	Professional		$2,663.80	$7,480.92	$9,556.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,259.52 / $4,826.00 / $11,174.55	Professional		$3,259.52	$4,826.00	$11,174.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,595.20 / $6,608.00 / $9,985.71	Facility		$3,595.20	$6,608.00	$9,985.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,575.76 / $7,318.59 / $25,664.16	Professional		$3,575.76	$7,318.59	$25,664.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,460.00 / $7,781.60 / $10,554.50	Facility		$5,460.00	$7,781.60	$10,554.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,234.74 / $7,449.79 / $9,556.29	Professional		$4,234.74	$7,449.79	$9,556.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,969.36 / $6,415.29 / $7,642.90	Professional		$2,969.36	$6,415.29	$7,642.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,746.04 / $6,233.07 / $11,085.89	Professional		$3,746.04	$6,233.07	$11,085.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,420.66 / $6,861.60 / $8,072.50	Professional		$5,420.66	$6,861.60	$8,072.50