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 $1,081.89 / $1,742.58 / $1,742.58	Professional		$1,081.89	$1,742.58	$1,742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,446.17 / $2,935.94 / $3,286.83	Professional		$2,446.17	$2,935.94	$3,286.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.26 / $1,793.25 / $2,941.40	Professional		$1,136.26	$1,793.25	$2,941.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,750.17 / $2,876.18 / $6,608.00	Facility		$1,750.17	$2,876.18	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,402.66 / $2,782.01 / $8,856.87	Professional		$1,402.66	$2,782.01	$8,856.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,807.35 / $2,695.03 / $3,576.49	Facility		$1,807.35	$2,695.03	$3,576.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,807.35 / $2,695.03 / $3,576.49	Professional		$1,807.35	$2,695.03	$3,576.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,156.69 / $3,087.00	Professional		$7.00	$2,156.69	$3,087.00
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 $1,322.03 / $2,439.89 / $3,742.26	Professional		$1,322.03	$2,439.89	$3,742.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,376.40 / $2,376.40 / $2,795.80	Professional		$2,376.40	$2,376.40	$2,795.80