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 $2,560.94 / $4,074.85 / $5,172.79	Professional		$2,560.94	$4,074.85	$5,172.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,423.00 / $6,425.29 / $8,020.59	Professional		$5,423.00	$6,425.29	$8,020.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.71 / $4,426.56 / $10,983.66	Professional		$2,818.71	$4,426.56	$10,983.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,074.85 / $6,752.02 / $11,688.00	Facility		$4,074.85	$6,752.02	$11,688.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,012.63 / $5,754.27 / $21,346.08	Professional		$3,012.63	$5,754.27	$21,346.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,170.35 / $6,721.20 / $8,500.40	Facility		$5,170.35	$6,721.20	$8,500.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,350.35 / $6,425.29 / $8,500.40	Professional		$4,350.35	$6,425.29	$8,500.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,129.74 / $4,831.39 / $6,467.77	Professional		$3,129.74	$4,831.39	$6,467.77
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 $2,908.38 / $4,373.71 / $8,250.79	Professional		$2,908.38	$4,373.71	$8,250.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,682.01 / $5,926.60 / $6,972.40	Professional		$4,682.01	$5,926.60	$6,972.40