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 $1,894.57 / $2,932.48 / $11,153.10	Professional		$1,894.57	$2,932.48	$11,153.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.11 / $4,580.33 / $5,737.10	Professional		$1,860.11	$4,580.33	$5,737.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.48 / $3,122.67 / $6,690.83	Professional		$1,923.48	$3,122.67	$6,690.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,390.58 / $3,918.08 / $6,035.36	Facility		$2,390.58	$3,918.08	$6,035.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,334.04 / $4,644.68 / $15,461.84	Professional		$2,334.04	$4,644.68	$15,461.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,196.81 / $4,693.57 / $6,321.91	Facility		$3,196.81	$4,693.57	$6,321.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,848.00 / $4,693.57 / $5,755.15	Professional		$2,848.00	$4,693.57	$5,755.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.83 / $3,806.60 / $4,494.24	Professional		$1,778.83	$3,806.60	$4,494.24
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 $2,232.56 / $3,311.87 / $6,606.96	Professional		$2,232.56	$3,311.87	$6,606.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,269.49 / $4,138.60 / $4,869.00	Professional		$3,269.49	$4,138.60	$4,869.00