Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,943.28	Facility		$2,511.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $4,570.88	Professional		$1,584.89	$2,089.30	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $5,011.87	Professional		$3,235.94	$3,981.07	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $6,606.93	Professional		$1,621.81	$2,511.89	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $6,606.93	Facility		$2,137.96	$3,890.45	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $13,182.57	Professional		$1,819.70	$3,467.37	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $5,128.61	Professional		$3,548.13	$4,168.69	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,128.61	Professional		$3,548.13	$3,548.13	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $4,786.30	Professional		$1,995.26	$3,311.31	$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 $1,698.24 / $2,511.89 / $5,011.87	Professional		$1,698.24	$2,511.89	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $4,365.16	Professional		$2,884.03	$3,715.35	$4,365.16