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 $1,598.05 / $2,449.88 / $9,354.87	Professional		$1,598.05	$2,449.88	$9,354.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.38 / $3,864.34 / $4,865.22	Professional		$1,730.38	$3,864.34	$4,865.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.08 / $2,660.36 / $5,669.27	Professional		$1,683.08	$2,660.36	$5,669.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,152.92 / $3,833.00 / $5,102.17	Facility		$2,152.92	$3,833.00	$5,102.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,991.36 / $3,907.98 / $13,073.44	Professional		$1,991.36	$3,907.98	$13,073.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,696.78 / $3,980.32 / $5,327.56	Facility		$2,696.78	$3,980.32	$5,327.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,606.00 / $3,980.32 / $5,309.53	Professional		$2,606.00	$3,980.32	$5,309.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,190.60 / $4,555.60	Professional		$7.00	$3,190.60	$4,555.60
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 $1,879.49 / $2,825.41 / $5,562.10	Professional		$1,879.49	$2,825.41	$5,562.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,772.66 / $3,509.70 / $4,129.10	Professional		$2,772.66	$3,509.70	$4,129.10