Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility		$2,290.87	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $4,677.35	Professional		$1,445.44	$1,737.80	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $4,570.88	Professional		$3,311.31	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $6,456.54	Professional		$1,584.89	$2,630.27	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $7,079.46	Facility		$1,995.26	$3,311.31	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $12,022.64	Professional		$1,698.24	$2,951.21	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $5,128.61	Professional		$3,235.94	$3,630.78	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $4,570.88	Professional		$2,398.83	$4,570.88	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,454.71 / $4,265.80	Professional		$10.96	$2,454.71	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $4,897.79	Professional		$1,584.89	$2,398.83	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Professional		$3,311.31	$3,311.31	$3,890.45