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 $3,888.40 / $6,194.52 / $6,194.52	Professional		$3,888.40	$6,194.52	$6,194.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,949.70 / $10,981.96 / $12,219.55	Professional		$8,949.70	$10,981.96	$12,219.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,294.07 / $7,173.78 / $10,954.50	Professional		$4,294.07	$7,173.78	$10,954.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,668.66 / $7,846.42 / $12,479.50	Facility		$4,668.66	$7,846.42	$12,479.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,885.00 / $10,234.40 / $32,424.56	Professional		$4,885.00	$10,234.40	$32,424.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,649.65 / $10,034.16 / $12,913.20	Facility		$6,649.65	$10,034.16	$12,913.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,473.00 / $10,034.16 / $12,479.50	Professional		$5,473.00	$10,034.16	$12,479.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $8,925.70 / $11,467.90	Professional		$15.00	$8,925.70	$11,467.90
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 $4,863.45 / $8,908.04 / $13,766.96	Professional		$4,863.45	$8,908.04	$13,766.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,012.10 / $9,012.10 / $10,602.50	Professional		$9,012.10	$9,012.10	$10,602.50