Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $34,673.69	Facility		$2,570.40	$5,370.32	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $5,248.07	Professional		$1,621.81	$1,995.26	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,128.61	Professional		$4,073.80	$4,265.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $6,918.31	Professional		$1,819.70	$3,162.28	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $7,079.46	Facility		$2,344.23	$4,265.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $13,489.63	Professional		$2,089.30	$3,715.35	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $6,025.60	Professional		$3,981.07	$4,265.80	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,128.61 / $5,248.07	Professional		$3,715.35	$5,128.61	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,715.35 / $4,786.30	Professional		$10.96	$3,715.35	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $5,623.41	Professional		$1,905.46	$2,884.03	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Professional		$3,801.89	$3,801.89	$4,466.84