Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.50 / $1,281.50 / $1,281.50	Facility		$1,281.50	$1,281.50	$1,281.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.01 / $1,988.38 / $4,045.88	Professional		$1,162.01	$1,988.38	$4,045.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,197.81 / $2,885.79 / $3,607.23	Professional		$2,197.81	$2,885.79	$3,607.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.94 / $1,983.15 / $3,193.21	Professional		$1,283.94	$1,983.15	$3,193.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,483.74 / $2,422.69 / $5,847.00	Facility		$1,483.74	$2,422.69	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,398.19 / $2,580.46 / $9,925.36	Professional		$1,398.19	$2,580.46	$9,925.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,839.02 / $2,468.58 / $3,101.91	Facility		$1,839.02	$2,468.58	$3,101.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,839.02 / $2,468.58 / $3,622.81	Professional		$1,839.02	$2,468.58	$3,622.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,316.90 / $3,357.60	Professional		$7.00	$2,316.90	$3,357.60
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 $1,398.19 / $2,249.27 / $3,307.03	Professional		$1,398.19	$2,249.27	$3,307.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,736.80 / $1,736.80 / $2,043.30	Professional		$1,736.80	$1,736.80	$2,043.30