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 $1,012.60 / $1,490.27 / $5,692.89	Professional		$1,012.60	$1,490.27	$5,692.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.89 / $2,455.71 / $3,069.65	Professional		$1,038.89	$2,455.71	$3,069.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,685.97 / $4,323.88	Professional		$1,012.34	$1,685.97	$4,323.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,465.01 / $2,418.14 / $4,663.00	Facility		$1,465.01	$2,418.14	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,249.91 / $2,404.64 / $9,419.54	Professional		$1,249.91	$2,404.64	$9,419.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,671.32 / $2,428.12 / $3,375.64	Facility		$1,671.32	$2,428.12	$3,375.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,671.32 / $2,404.64 / $3,275.68	Professional		$1,671.32	$2,404.64	$3,275.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,963.20 / $2,762.60	Professional		$6.00	$1,963.20	$2,762.60
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 $1,145.75 / $1,885.40 / $3,390.69	Professional		$1,145.75	$1,885.40	$3,390.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,675.04 / $2,120.30 / $2,494.50	Professional		$1,675.04	$2,120.30	$2,494.50