Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $8,128.31	Professional		$1,621.81	$2,137.96	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $5,011.87	Professional		$4,073.80	$4,168.69	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $6,760.83	Professional		$1,778.28	$3,235.94	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $7,079.46	Facility		$2,344.23	$4,168.69	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $13,489.63	Professional		$2,041.74	$3,630.78	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $6,025.60	Professional		$3,981.07	$4,168.69	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $5,128.61	Professional		$3,630.78	$5,128.61	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,786.30	Professional		$3,715.35	$4,073.80	$4,786.30
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 $1,862.09 / $2,818.38 / $5,495.41	Professional		$1,862.09	$2,818.38	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16