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 $2,404.13 / $3,824.45 / $3,824.45	Professional		$2,404.13	$3,824.45	$3,824.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,872.86 / $6,897.44 / $7,689.94	Professional		$5,872.86	$6,897.44	$7,689.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,644.26 / $4,387.58 / $6,874.16	Professional		$2,644.26	$4,387.58	$6,874.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,824.45 / $6,308.67 / $8,185.34	Facility		$3,824.45	$6,308.67	$8,185.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,208.42 / $6,307.81 / $20,038.56	Professional		$3,208.42	$6,307.81	$20,038.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,088.31 / $6,307.81 / $7,966.60	Facility		$4,088.31	$6,307.81	$7,966.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,088.31 / $6,307.81 / $7,966.60	Professional		$4,088.31	$6,307.81	$7,966.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,032.10 / $7,088.20	Professional		$15.00	$5,032.10	$7,088.20
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 $3,074.92 / $6,201.08 / $8,888.04	Professional		$3,074.92	$6,201.08	$8,888.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,562.00 / $5,562.00 / $6,543.60	Professional		$5,562.00	$5,562.00	$6,543.60