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 $2,256.92 / $3,498.65 / $3,498.65	Professional		$2,256.92	$3,498.65	$3,498.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,310.00 / $6,007.88 / $6,785.96	Professional		$5,310.00	$6,007.88	$6,785.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.21 / $3,865.52 / $6,549.07	Professional		$2,233.21	$3,865.52	$6,549.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,385.54 / $5,480.43 / $7,016.66	Facility		$3,385.54	$5,480.43	$7,016.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,985.80 / $5,645.04 / $18,098.00	Professional		$2,985.80	$5,645.04	$18,098.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,735.33 / $5,522.23 / $7,330.65	Facility		$3,735.33	$5,522.23	$7,330.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,735.33 / $5,310.00 / $7,330.65	Professional		$3,735.33	$5,310.00	$7,330.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,412.89 / $6,202.60	Professional		$11.00	$4,412.89	$6,202.60
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 $2,682.56 / $4,805.28 / $7,593.51	Professional		$2,682.56	$4,805.28	$7,593.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,682.20 / $4,682.20 / $5,508.50	Professional		$4,682.20	$4,682.20	$5,508.50