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 $1,733.45 / $2,757.38 / $2,757.38	Professional		$1,733.45	$2,757.38	$2,757.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,983.58 / $4,663.75 / $5,256.98	Professional		$3,983.58	$4,663.75	$5,256.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.21 / $2,866.17 / $5,148.64	Professional		$1,750.21	$2,866.17	$5,148.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,813.77 / $4,360.92 / $6,608.00	Facility		$2,813.77	$4,360.92	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,407.38 / $4,454.64 / $24,470.00	Professional		$2,407.38	$4,454.64	$24,470.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,979.78 / $4,116.42 / $5,764.79	Facility		$2,979.78	$4,116.42	$5,764.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,979.78 / $4,116.42 / $5,764.79	Professional		$2,979.78	$4,116.42	$5,764.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,249.30 / $4,668.89	Professional		$8.00	$3,249.30	$4,668.89
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 $2,184.80 / $4,390.75 / $5,992.23	Professional		$2,184.80	$4,390.75	$5,992.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,629.70 / $3,629.70 / $4,270.30	Professional		$3,629.70	$3,629.70	$4,270.30