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 $1,105.81 / $1,699.74 / $3,929.79	Professional		$1,105.81	$1,699.74	$3,929.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.04 / $2,682.44 / $3,360.38	Professional		$1,190.04	$2,682.44	$3,360.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.33 / $1,827.36 / $3,936.11	Professional		$1,158.33	$1,827.36	$3,936.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,618.52 / $2,652.61 / $4,663.00	Facility		$1,618.52	$2,652.61	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,352.15 / $2,686.93 / $9,038.24	Professional		$1,352.15	$2,686.93	$9,038.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,848.21 / $2,748.15 / $3,654.12	Facility		$1,848.21	$2,748.15	$3,654.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,766.00 / $2,748.15 / $3,490.57	Professional		$1,766.00	$2,748.15	$3,490.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,205.80 / $3,159.10	Professional		$7.00	$2,205.80	$3,159.10
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 $1,285.10 / $1,881.25 / $3,703.71	Professional		$1,285.10	$1,881.25	$3,703.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,914.33 / $2,423.19 / $2,850.90	Professional		$1,914.33	$2,423.19	$2,850.90