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 $1,052.56 / $1,285.94 / $2,410.31	Professional		$1,052.56	$1,285.94	$2,410.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.05 / $2,557.01 / $3,199.44	Professional		$1,135.05	$2,557.01	$3,199.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.74 / $1,745.97 / $3,735.97	Professional		$1,105.74	$1,745.97	$3,735.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,497.23 / $2,529.75 / $4,663.00	Facility		$1,497.23	$2,529.75	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,276.73 / $2,536.67 / $8,612.16	Professional		$1,276.73	$2,536.67	$8,612.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,756.76 / $2,622.24 / $3,454.34	Facility		$1,756.76	$2,622.24	$3,454.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,677.00 / $2,622.24 / $3,400.76	Professional		$1,677.00	$2,622.24	$3,400.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,079.40 / $3,003.80	Professional		$7.00	$2,079.40	$3,003.80
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 $1,221.22 / $1,776.32 / $3,614.03	Professional		$1,221.22	$1,776.32	$3,614.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,826.64 / $2,312.19 / $2,720.30	Professional		$1,826.64	$2,312.19	$2,720.30