Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,370.32 / $7,943.28	Facility		$2,691.53	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $4,073.80	Professional		$1,445.44	$1,778.28	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $4,570.88	Professional		$1,584.89	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $6,918.31	Professional		$1,513.56	$2,818.38	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,677.35	Facility		$1,621.81	$2,884.03	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $13,182.57	Professional		$1,698.24	$3,019.95	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $4,466.84	Professional		$2,818.38	$3,630.78	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $4,466.84	Professional		$2,570.40	$3,162.28	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,162.28 / $4,168.69	Professional		$10.96	$3,162.28	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $4,365.16	Professional		$1,621.81	$2,290.87	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,801.89	Professional		$2,511.89	$3,235.94	$3,801.89