Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.84 / $1,876.80 / $2,119.54	Professional		$1,074.84	$1,876.80	$2,119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,391.13 / $2,975.19 / $3,648.14	Professional		$2,391.13	$2,975.19	$3,648.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.27 / $2,013.38 / $3,725.31	Professional		$1,290.27	$2,013.38	$3,725.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,876.80 / $2,975.19 / $11,688.00	Facility		$1,876.80	$2,975.19	$11,688.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,363.52 / $2,562.25 / $9,855.60	Professional		$1,363.52	$2,562.25	$9,855.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $2,975.19 / $3,885.93	Facility		$2,209.00	$2,975.19	$3,885.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,893.42 / $2,971.07 / $3,885.93	Professional		$1,893.42	$2,971.07	$3,885.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.08 / $2,233.52 / $2,940.97	Professional		$1,426.08	$2,233.52	$2,940.97
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.00 / $1,990.10 / $3,731.43	Professional		$1,306.00	$1,990.10	$3,731.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,155.19 / $2,728.10 / $3,209.50	Professional		$2,155.19	$2,728.10	$3,209.50