Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.08 / $2,427.71 / $5,390.00	Professional		$1,291.08	$2,427.71	$5,390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.11 / $3,150.68 / $3,938.35	Professional		$1,633.11	$3,150.68	$3,938.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.88 / $1,755.43 / $4,271.67	Professional		$1,246.88	$1,755.43	$4,271.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,759.18 / $3,672.63 / $9,874.90	Facility		$1,759.18	$3,672.63	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,532.04 / $2,577.25 / $4,720.54	Professional		$1,532.04	$2,577.25	$4,720.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $2,856.67 / $3,729.54	Facility		$2,121.00	$2,856.67	$3,729.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,121.00 / $2,769.42 / $4,055.01	Professional		$2,121.00	$2,769.42	$4,055.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.24 / $2,308.88 / $3,436.94	Professional		$1,212.24	$2,308.88	$3,436.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.90 / $2,131.54 / $3,936.30	Professional		$1,442.90	$2,131.54	$3,936.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,045.47 / $2,832.90 / $3,046.20	Professional		$2,045.47	$2,832.90	$3,046.20