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 $1,838.57 / $2,839.07 / $3,193.89	Professional		$1,838.57	$2,839.07	$3,193.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,896.44 / $4,502.22 / $5,645.86	Professional		$3,896.44	$4,502.22	$5,645.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.91 / $2,993.80 / $4,933.89	Professional		$1,901.91	$2,993.80	$4,933.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,435.60 / $4,055.84 / $6,608.00	Facility		$2,435.60	$4,055.84	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.64 / $4,601.10 / $14,837.84	Professional		$2,290.64	$4,601.10	$14,837.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,542.67 / $4,055.84 / $6,008.17	Facility		$2,542.67	$4,055.84	$6,008.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,542.67 / $4,055.84 / $5,750.93	Professional		$2,542.67	$4,055.84	$5,750.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,039.00 / $5,349.30	Professional		$11.00	$3,039.00	$5,349.30
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 $2,099.76 / $3,932.27 / $6,213.94	Professional		$2,099.76	$3,932.27	$6,213.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,054.60 / $4,054.60 / $4,770.10	Professional		$4,054.60	$4,054.60	$4,770.10