Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.02 / $1,507.75 / $2,739.65	Professional		$1,248.02	$1,507.75	$2,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.60 / $3,057.25 / $3,413.43	Professional		$2,717.60	$3,057.25	$3,413.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.32 / $2,014.41 / $3,786.07	Professional		$1,151.32	$2,014.41	$3,786.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,881.84 / $3,173.27 / $12,013.25	Facility		$1,881.84	$3,173.27	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,509.58 / $2,899.53 / $9,209.36	Professional		$1,509.58	$2,899.53	$9,209.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,894.95 / $2,862.37 / $3,743.81	Facility		$1,894.95	$2,862.37	$3,743.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,894.95 / $2,717.60 / $3,743.81	Professional		$1,894.95	$2,717.60	$3,743.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.84 / $2,144.64 / $4,545.41	Professional		$1,141.84	$2,144.64	$4,545.41
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 $1,381.76 / $2,550.13 / $3,911.34	Professional		$1,381.76	$2,550.13	$3,911.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,354.10 / $2,354.10 / $2,769.50	Professional		$2,354.10	$2,354.10	$2,769.50