Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,511.07 / $2,658.89 / $2,658.89	Professional		$1,511.07	$2,658.89	$2,658.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,553.83 / $4,020.54 / $4,578.18	Professional		$3,553.83	$4,020.54	$4,578.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.04 / $2,568.77 / $4,362.95	Professional		$1,482.04	$2,568.77	$4,362.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.05 / $3,761.36 / $6,608.00	Facility		$2,054.05	$3,761.36	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,982.08 / $3,750.88 / $12,116.64	Professional		$1,982.08	$3,750.88	$12,116.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,536.00 / $3,684.82 / $4,919.63	Facility		$2,536.00	$3,684.82	$4,919.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,536.00 / $3,553.83 / $4,919.63	Professional		$2,536.00	$3,553.83	$4,919.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,059.00 / $4,190.39	Professional		$6.00	$3,059.00	$4,190.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.44 / $3,366.53 / $5,045.55	Professional		$1,782.44	$3,366.53	$5,045.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,078.50 / $3,078.50 / $3,621.70	Professional		$3,078.50	$3,078.50	$3,621.70