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 $1,038.18 / $1,699.31 / $2,476.87	Professional		$1,038.18	$1,699.31	$2,476.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.50 / $2,716.72 / $3,395.90	Professional		$1,047.50	$2,716.72	$3,395.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.95 / $1,785.05 / $3,416.30	Professional		$1,124.95	$1,785.05	$3,416.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,317.97 / $2,337.00 / $4,663.00	Facility		$1,317.97	$2,337.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,300.32 / $2,518.07 / $8,989.04	Professional		$1,300.32	$2,518.07	$8,989.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,704.18 / $2,531.57 / $3,554.23	Facility		$1,704.18	$2,531.57	$3,554.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,585.32 / $2,531.57 / $3,321.94	Professional		$1,585.32	$2,531.57	$3,321.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,998.50 / $3,160.80	Professional		$7.00	$1,998.50	$3,160.80
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 $1,259.33 / $1,857.53 / $3,723.38	Professional		$1,259.33	$1,857.53	$3,723.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,907.30 / $2,414.30 / $2,840.30	Professional		$1,907.30	$2,414.30	$2,840.30