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 $2,213.44 / $3,400.38 / $12,886.10	Professional		$2,213.44	$3,400.38	$12,886.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,379.21 / $5,388.26 / $6,735.32	Professional		$2,379.21	$5,388.26	$6,735.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,318.46 / $3,655.76 / $7,570.62	Professional		$2,318.46	$3,655.76	$7,570.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,815.43 / $4,824.87 / $6,608.00	Facility		$2,815.43	$4,824.87	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,695.75 / $5,359.60 / $18,098.08	Professional		$2,695.75	$5,359.60	$18,098.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,821.00 / $5,507.96 / $7,282.65	Facility		$3,821.00	$5,507.96	$7,282.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,497.00 / $5,507.96 / $7,231.28	Professional		$3,497.00	$5,507.96	$7,231.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,269.30 / $6,326.80	Professional		$7.00	$4,269.30	$6,326.80
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 $2,578.54 / $3,931.63 / $7,630.85	Professional		$2,578.54	$3,931.63	$7,630.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,836.87 / $4,856.80 / $5,713.80	Professional		$3,836.87	$4,856.80	$5,713.80