Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $7,943.28	Facility		$2,754.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,677.35	Professional		$1,737.80	$2,137.96	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $5,370.32	Professional		$4,073.80	$4,365.16	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $6,760.83	Professional		$1,862.09	$3,311.31	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $7,079.46	Facility		$2,344.23	$4,365.16	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $24,547.09	Professional		$2,187.76	$3,890.45	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $6,025.60	Professional		$3,981.07	$4,466.84	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $5,011.87	Professional		$3,548.13	$5,011.87	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $3,548.13 / $4,677.35	Professional		$7.94	$3,548.13	$4,677.35
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 $2,041.74 / $3,090.30 / $6,025.60	Professional		$2,041.74	$3,090.30	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,265.80	Professional		$3,630.78	$3,630.78	$4,265.80