Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,090.30	Professional		$1,096.48	$1,380.38	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $3,467.37	Professional		$1,174.90	$2,818.38	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $4,365.16	Professional		$1,174.90	$2,137.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,467.37	Facility		$1,230.27	$2,187.76	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $9,120.11	Professional		$1,288.25	$2,290.87	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,388.44	Professional		$2,089.30	$2,818.38	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,467.37	Professional		$1,778.28	$2,398.83	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $3,235.94	Professional		$1,479.11	$2,398.83	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,388.44	Professional		$1,258.93	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,884.03	Professional		$1,949.84	$2,454.71	$2,884.03