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 $2,386.42 / $3,576.38 / $5,738.85	Professional		$2,386.42	$3,576.38	$5,738.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,165.56 / $6,290.97 / $7,033.13	Professional		$5,165.56	$6,290.97	$7,033.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.05 / $4,098.88 / $6,020.74	Professional		$2,475.05	$4,098.88	$6,020.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,503.71 / $5,898.49 / $7,305.00	Facility		$3,503.71	$5,898.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,764.00 / $5,843.75 / $18,732.72	Professional		$2,764.00	$5,843.75	$18,732.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,824.37 / $5,718.46 / $7,458.04	Facility		$3,824.37	$5,718.46	$7,458.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,096.00 / $5,718.46 / $7,196.34	Professional		$3,096.00	$5,718.46	$7,196.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,714.00 / $6,624.60	Professional		$11.00	$4,714.00	$6,624.60
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 $2,760.62 / $5,056.55 / $7,814.48	Professional		$2,760.62	$5,056.55	$7,814.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,201.39 / $5,201.39 / $6,119.30	Professional		$5,201.39	$5,201.39	$6,119.30