Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.17 / $2,120.55 / $2,120.55	Professional		$1,333.17	$2,120.55	$2,120.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,165.91 / $3,587.43 / $4,045.48	Professional		$3,165.91	$3,587.43	$4,045.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.59 / $2,295.98 / $3,966.62	Professional		$1,345.59	$2,295.98	$3,966.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,104.69 / $3,396.00 / $6,608.00	Facility		$2,104.69	$3,396.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,854.71 / $3,424.20 / $10,796.64	Professional		$1,854.71	$3,424.20	$10,796.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,271.40 / $3,221.71 / $4,431.02	Facility		$2,271.40	$3,221.71	$4,431.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,271.40 / $3,165.91 / $4,431.02	Professional		$2,271.40	$3,165.91	$4,431.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,499.50 / $3,590.10	Professional		$7.00	$2,499.50	$3,590.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,627.20 / $3,173.84 / $4,606.12	Professional		$1,627.20	$3,173.84	$4,606.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,791.60 / $2,791.60 / $3,284.30	Professional		$2,791.60	$2,791.60	$3,284.30