Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,011.87 / $7,943.28	Facility		$2,630.27	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,466.84	Professional		$1,659.59	$2,089.30	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $5,128.61	Professional		$3,981.07	$4,265.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $6,606.93	Professional		$1,778.28	$3,162.28	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $7,079.46	Facility		$2,344.23	$4,168.69	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $25,118.86	Professional		$2,137.96	$3,715.35	$25,118.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,888.44	Professional		$3,890.45	$4,265.80	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $4,786.30	Professional		$3,388.44	$4,786.30	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $3,388.44 / $4,466.84	Professional		$7.94	$3,388.44	$4,466.84
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 $1,949.84 / $2,951.21 / $5,754.40	Professional		$1,949.84	$2,951.21	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Professional		$3,467.37	$3,467.37	$4,073.80