Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,981.07	Professional		$1,348.96	$1,737.80	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,265.80	Professional		$3,388.44	$3,388.44	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $5,128.61	Professional		$1,479.11	$2,454.71	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $7,079.46	Facility		$1,862.09	$3,388.44	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $12,589.25	Professional		$1,659.59	$2,951.21	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $4,677.35	Professional		$3,090.30	$3,388.44	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $4,073.80	Professional		$2,754.23	$4,073.80	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,818.38 / $3,890.45	Professional		$7.08	$2,818.38	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,365.16	Professional		$1,548.82	$2,290.87	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Professional		$2,951.21	$2,951.21	$3,467.37