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 $1,663.09 / $2,646.44 / $2,646.44	Professional		$1,663.09	$2,646.44	$2,646.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,882.75 / $4,465.72 / $5,029.09	Professional		$3,882.75	$4,465.72	$5,029.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.35 / $2,836.83 / $4,950.72	Professional		$1,676.35	$2,836.83	$4,950.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,820.53 / $4,186.54 / $6,608.00	Facility		$2,820.53	$4,186.54	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,314.83 / $4,281.59 / $24,885.00	Professional		$2,314.83	$4,281.59	$24,885.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,837.49 / $3,939.57 / $5,538.51	Facility		$2,837.49	$3,939.57	$5,538.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,837.49 / $3,939.57 / $5,538.51	Professional		$2,837.49	$3,939.57	$5,538.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,117.00 / $4,480.60	Professional		$8.00	$3,117.00	$4,480.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,123.10 / $4,281.59 / $5,759.44	Professional		$2,123.10	$4,281.59	$5,759.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,473.80 / $3,473.80 / $4,086.80	Professional		$3,473.80	$3,473.80	$4,086.80