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 $1,969.24 / $2,318.66 / $4,457.92	Professional		$1,969.24	$2,318.66	$4,457.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,108.69 / $4,780.56 / $5,975.70	Professional		$2,108.69	$4,780.56	$5,975.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.55 / $3,199.67 / $6,278.04	Professional		$2,002.55	$3,199.67	$6,278.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,508.82 / $4,342.60 / $6,159.62	Facility		$2,508.82	$4,342.60	$6,159.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,437.35 / $4,803.16 / $16,131.12	Professional		$2,437.35	$4,803.16	$16,131.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,341.12 / $4,831.83 / $6,657.88	Facility		$3,341.12	$4,831.83	$6,657.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,250.00 / $4,831.83 / $6,549.12	Professional		$3,250.00	$4,831.83	$6,549.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $3,873.00 / $5,543.70	Professional		$10.00	$3,873.00	$5,543.70
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 $2,308.10 / $3,368.79 / $6,830.50	Professional		$2,308.10	$3,368.79	$6,830.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,365.87 / $4,260.60 / $5,012.39	Professional		$3,365.87	$4,260.60	$5,012.39