Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,641.31 / $2,322.00 / $2,322.00	Professional		$1,641.31	$2,322.00	$2,322.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,074.22 / $3,484.16 / $3,930.56	Professional		$3,074.22	$3,484.16	$3,930.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.88 / $2,227.92 / $3,983.28	Professional		$1,305.88	$2,227.92	$3,983.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,822.74 / $3,938.46 / $12,656.46	Facility		$2,822.74	$3,938.46	$12,656.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,835.27 / $3,324.15 / $11,605.00	Professional		$1,835.27	$3,324.15	$11,605.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,558.00 / $3,732.68 / $4,818.76	Facility		$2,558.00	$3,732.68	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,341.00 / $3,074.22 / $4,305.87	Professional		$2,341.00	$3,074.22	$4,305.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,433.50 / $3,491.30	Professional		$3.00	$2,433.50	$3,491.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,649.44 / $3,083.39 / $4,474.51	Professional		$1,649.44	$3,083.39	$4,474.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,663.00 / $2,663.00 / $3,132.90	Professional		$2,663.00	$2,663.00	$3,132.90