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 $1,415.76 / $2,086.90 / $8,121.88	Professional		$1,415.76	$2,086.90	$8,121.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.26 / $3,417.13 / $4,271.42	Professional		$1,458.26	$3,417.13	$4,271.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.39 / $2,284.31 / $4,957.66	Professional		$1,422.39	$2,284.31	$4,957.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,933.02 / $3,147.59 / $4,805.47	Facility		$1,933.02	$3,147.59	$4,805.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,774.12 / $3,355.13 / $11,410.40	Professional		$1,774.12	$3,355.13	$11,410.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,426.92 / $3,355.13 / $4,726.12	Facility		$2,426.92	$3,355.13	$4,726.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,348.00 / $3,355.13 / $4,718.76	Professional		$2,348.00	$3,355.13	$4,718.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,785.70 / $3,838.90	Professional		$7.00	$2,785.70	$3,838.90
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 $1,628.50 / $2,752.94 / $4,866.84	Professional		$1,628.50	$2,752.94	$4,866.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,337.21 / $2,958.50 / $3,480.60	Professional		$2,337.21	$2,958.50	$3,480.60