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 $1,636.86 / $2,436.14 / $9,441.53	Professional		$1,636.86	$2,436.14	$9,441.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.03 / $3,949.26 / $4,936.57	Professional		$1,679.03	$3,949.26	$4,936.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.92 / $2,640.12 / $5,758.23	Professional		$1,634.92	$2,640.12	$5,758.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,127.92 / $3,602.54 / $5,244.00	Facility		$2,127.92	$3,602.54	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,991.46 / $3,867.50 / $13,170.48	Professional		$1,991.46	$3,867.50	$13,170.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,845.63 / $3,867.50 / $5,467.79	Facility		$2,845.63	$3,867.50	$5,467.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,673.00 / $3,867.50 / $5,467.41	Professional		$2,673.00	$3,867.50	$5,467.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,248.60 / $4,461.80	Professional		$7.00	$3,248.60	$4,461.80
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 $1,870.16 / $2,996.06 / $5,637.20	Professional		$1,870.16	$2,996.06	$5,637.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,694.14 / $3,410.30 / $4,012.10	Professional		$2,694.14	$3,410.30	$4,012.10