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 $2,688.09 / $3,536.91 / $6,506.98	Professional		$2,688.09	$3,536.91	$6,506.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,462.09 / $7,174.35 / $8,104.59	Professional		$5,462.09	$7,174.35	$8,104.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,713.86 / $4,124.37 / $6,914.26	Professional		$2,713.86	$4,124.37	$6,914.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,536.91 / $6,209.28 / $7,865.29	Facility		$3,536.91	$6,209.28	$7,865.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,328.62 / $6,712.72 / $21,615.68	Professional		$3,328.62	$6,712.72	$21,615.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,371.70 / $6,433.72 / $8,692.07	Facility		$4,371.70	$6,433.72	$8,692.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,947.62 / $6,433.72 / $7,865.29	Professional		$3,947.62	$6,433.72	$7,865.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $5,023.39 / $7,413.20	Professional		$8.00	$5,023.39	$7,413.20
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 $3,189.93 / $5,714.13 / $9,029.70	Professional		$3,189.93	$5,714.13	$9,029.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,573.10 / $5,573.10 / $6,556.60	Professional		$5,573.10	$5,573.10	$6,556.60