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 $2,804.16 / $4,447.43 / $4,447.43	Professional		$2,804.16	$4,447.43	$4,447.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,567.93 / $7,840.93 / $8,910.15	Professional		$6,567.93	$7,840.93	$8,910.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,026.45 / $5,021.45 / $7,795.33	Professional		$3,026.45	$5,021.45	$7,795.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,929.15 / $6,749.26 / $8,910.15	Facility		$3,929.15	$6,749.26	$8,910.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,580.68 / $7,249.57 / $23,209.12	Professional		$3,580.68	$7,249.57	$23,209.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,680.70 / $7,094.12 / $9,278.64	Facility		$4,680.70	$7,094.12	$9,278.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,628.32 / $7,094.12 / $9,278.64	Professional		$4,628.32	$7,094.12	$9,278.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,875.20 / $8,318.20	Professional		$15.00	$5,875.20	$8,318.20
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 $3,424.67 / $6,243.77 / $9,694.19	Professional		$3,424.67	$6,243.77	$9,694.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,392.50 / $6,392.50 / $7,520.60	Professional		$6,392.50	$6,392.50	$7,520.60