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 $1,161.68 / $1,790.63 / $6,796.55	Professional		$1,161.68	$1,790.63	$6,796.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.33 / $2,816.45 / $3,527.32	Professional		$1,248.33	$2,816.45	$3,527.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.41 / $1,915.58 / $4,132.08	Professional		$1,214.41	$1,915.58	$4,132.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.83 / $2,513.00 / $4,663.00	Facility		$1,549.83	$2,513.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,422.12 / $2,824.45 / $9,488.08	Professional		$1,422.12	$2,824.45	$9,488.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,949.77 / $2,882.79 / $3,832.24	Facility		$1,949.77	$2,882.79	$3,832.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,863.00 / $2,882.79 / $3,751.00	Professional		$1,863.00	$2,882.79	$3,751.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,322.60 / $3,324.20	Professional		$7.00	$2,322.60	$3,324.20
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 $1,360.29 / $2,078.98 / $4,025.60	Professional		$1,360.29	$2,078.98	$4,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,008.18 / $2,542.00 / $2,990.60	Professional		$2,008.18	$2,542.00	$2,990.60