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 $1,987.50 / $1,987.50 / $1,987.50	Professional		$1,987.50	$1,987.50	$1,987.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $4,146.37 / $5,182.96	Professional		$627.54	$4,146.37	$5,182.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.13 / $2,826.34 / $10,594.97	Professional		$1,765.13	$2,826.34	$10,594.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $3,378.75 / $6,572.00	Facility		$1,987.50	$3,378.75	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,494.82 / $4,779.93 / $7,755.51	Professional		$3,494.82	$4,779.93	$7,755.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,848.61 / $4,779.93 / $4,779.93	Facility		$3,848.61	$4,779.93	$4,779.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,494.82 / $3,744.92 / $4,779.93	Professional		$3,494.82	$3,744.92	$4,779.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $6,321.40	Professional		$7.00	$7.00	$6,321.40
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,698.17 / $3,415.40 / $4,018.10	Professional		$2,698.17	$3,415.40	$4,018.10