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 $1,152.59 / $1,771.34 / $6,754.32	Professional		$1,152.59	$1,771.34	$6,754.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.53 / $2,787.62 / $3,506.89	Professional		$1,245.53	$2,787.62	$3,506.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.80 / $1,915.29 / $4,127.91	Professional		$1,211.80	$1,915.29	$4,127.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.14 / $2,729.72 / $4,663.00	Facility		$1,659.14	$2,729.72	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,446.32 / $2,817.85 / $9,422.95	Professional		$1,446.32	$2,817.85	$9,422.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,950.14 / $2,868.26 / $3,901.07	Facility		$1,950.14	$2,868.26	$3,901.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,894.00 / $2,868.26 / $3,826.93	Professional		$1,894.00	$2,868.26	$3,826.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,304.80 / $3,289.60	Professional		$7.00	$2,304.80	$3,289.60
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 $1,355.70 / $1,971.92 / $4,011.99	Professional		$1,355.70	$1,971.92	$4,011.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,997.99 / $2,529.10 / $2,975.50	Professional		$1,997.99	$2,529.10	$2,975.50