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 $1,928.18 / $3,067.46 / $3,067.46	Professional		$1,928.18	$3,067.46	$3,067.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,471.57 / $5,185.24 / $5,841.30	Professional		$4,471.57	$5,185.24	$5,841.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.77 / $3,220.42 / $5,733.99	Professional		$1,946.77	$3,220.42	$5,733.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,067.46 / $4,855.85 / $6,822.38	Facility		$3,067.46	$4,855.85	$6,822.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,681.07 / $4,959.79 / $30,415.00	Professional		$2,681.07	$4,959.79	$30,415.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,290.25 / $4,575.64 / $6,414.47	Facility		$3,290.25	$4,575.64	$6,414.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,290.25 / $4,575.64 / $6,414.47	Professional		$3,290.25	$4,575.64	$6,414.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,614.40 / $5,191.00	Professional		$8.00	$3,614.40	$5,191.00
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 $2,356.92 / $4,598.04 / $6,671.74	Professional		$2,356.92	$4,598.04	$6,671.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,034.70 / $4,034.70 / $4,746.70	Professional		$4,034.70	$4,034.70	$4,746.70