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 $1,056.06 / $1,736.52 / $6,571.36	Professional		$1,056.06	$1,736.52	$6,571.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.47 / $2,742.43 / $3,428.04	Professional		$1,209.47	$2,742.43	$3,428.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.52 / $1,859.64 / $3,742.91	Professional		$1,179.52	$1,859.64	$3,742.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,493.54 / $2,386.06 / $4,663.00	Facility		$1,493.54	$2,386.06	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,374.28 / $2,643.51 / $9,204.79	Professional		$1,374.28	$2,643.51	$9,204.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,758.27 / $2,643.51 / $3,707.43	Facility		$1,758.27	$2,643.51	$3,707.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,741.00 / $2,643.51 / $3,549.58	Professional		$1,741.00	$2,643.51	$3,549.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,940.40 / $3,228.40	Professional		$6.00	$1,940.40	$3,228.40
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 $1,314.53 / $2,159.41 / $3,890.18	Professional		$1,314.53	$2,159.41	$3,890.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,952.41 / $2,471.40 / $2,907.50	Professional		$1,952.41	$2,471.40	$2,907.50