Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $17,782.79	Facility		$1,412.54	$5,370.32	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $5,370.32	Professional		$1,047.13	$1,659.59	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,235.94	Professional		$2,570.40	$2,630.27	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $3,981.07	Professional		$1,122.02	$1,995.26	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $8,511.38	Facility		$1,698.24	$3,388.44	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $8,511.38	Professional		$1,348.96	$2,290.87	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $3,981.07	Professional		$2,511.89	$2,630.27	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,090.30	Professional		$2,238.72	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,238.72 / $2,884.03	Professional		$6.03	$2,238.72	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $10,232.93	Facility		$3,388.44	$6,309.57	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,467.37	Professional		$1,230.27	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Professional		$2,187.76	$2,187.76	$2,570.40