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 $1,651.01 / $2,541.33 / $9,682.86	Professional		$1,651.01	$2,541.33	$9,682.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.34 / $3,987.43 / $5,021.34	Professional		$1,782.34	$3,987.43	$5,021.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.40 / $2,737.70 / $5,815.21	Professional		$1,679.40	$2,737.70	$5,815.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,528.35 / $5,241.59	Facility		$2,126.00	$3,528.35	$5,241.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,031.15 / $4,037.95 / $13,486.56	Professional		$2,031.15	$4,037.95	$13,486.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,770.62 / $4,101.14 / $5,492.21	Facility		$2,770.62	$4,101.14	$5,492.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,656.00 / $4,101.14 / $5,368.62	Professional		$2,656.00	$4,101.14	$5,368.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $3,302.70 / $4,716.70	Professional		$13.00	$3,302.70	$4,716.70
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 $1,942.84 / $2,966.57 / $5,749.58	Professional		$1,942.84	$2,966.57	$5,749.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,856.88 / $3,616.30 / $4,254.39	Professional		$2,856.88	$3,616.30	$4,254.39