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 $1,247.53 / $1,913.26 / $7,291.17	Professional		$1,247.53	$1,913.26	$7,291.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.09 / $3,023.69 / $3,793.93	Professional		$1,348.09	$3,023.69	$3,793.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.58 / $2,071.16 / $4,444.80	Professional		$1,311.58	$2,071.16	$4,444.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,772.19 / $2,923.05 / $4,663.00	Facility		$1,772.19	$2,923.05	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,529.55 / $3,041.22 / $11,913.39	Professional		$1,529.55	$3,041.22	$11,913.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,112.64 / $3,106.24 / $4,138.97	Facility		$2,112.64	$3,106.24	$4,138.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $3,106.24 / $4,103.77	Professional		$2,104.00	$3,106.24	$4,103.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $2,316.92 / $2,852.29	Professional		$1,238.33	$2,316.92	$2,852.29
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 $1,463.04 / $2,335.32 / $4,329.68	Professional		$1,463.04	$2,335.32	$4,329.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,163.81 / $2,739.00 / $3,222.30	Professional		$2,163.81	$2,739.00	$3,222.30