Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $7,943.28	Facility		$1,905.46	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,467.37	Professional		$1,202.26	$1,584.89	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,801.89	Professional		$2,454.71	$3,019.95	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $4,365.16	Professional		$1,230.27	$1,949.84	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $6,606.93	Facility		$1,905.46	$2,951.21	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $10,232.93	Professional		$1,380.38	$2,630.27	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,801.89	Professional		$2,691.53	$3,162.28	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,801.89	Professional		$2,691.53	$2,691.53	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,630.78	Professional		$1,513.56	$2,570.40	$3,630.78
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 $1,288.25 / $1,905.46 / $3,715.35	Professional		$1,288.25	$1,905.46	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,311.31	Professional		$2,187.76	$2,818.38	$3,311.31