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 $1,344.56 / $2,060.31 / $7,858.19	Professional		$1,344.56	$2,060.31	$7,858.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.66 / $3,253.52 / $4,091.78	Professional		$1,454.66	$3,253.52	$4,091.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.32 / $2,217.54 / $4,779.76	Professional		$1,394.32	$2,217.54	$4,779.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,832.59 / $2,971.86 / $4,663.00	Facility		$1,832.59	$2,971.86	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.93 / $3,280.84 / $11,001.04	Professional		$1,659.93	$3,280.84	$11,001.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,236.21 / $3,347.87 / $4,575.83	Facility		$2,236.21	$3,347.87	$4,575.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,215.00 / $3,347.87 / $4,451.50	Professional		$2,215.00	$3,347.87	$4,451.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,678.80 / $3,833.00	Professional		$7.00	$2,678.80	$3,833.00
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 $1,578.05 / $2,600.59 / $4,670.02	Professional		$1,578.05	$2,600.59	$4,670.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,332.08 / $2,952.00 / $3,473.00	Professional		$2,332.08	$2,952.00	$3,473.00