Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,606.93 / $8,128.31	Facility		$2,570.40	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,715.35	Professional		$1,380.38	$1,698.24	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $4,570.88	Professional		$3,467.37	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $7,079.46	Professional		$1,548.82	$2,570.40	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $16,218.10	Facility		$2,570.40	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $11,481.54	Professional		$1,737.80	$3,019.95	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,467.37 / $5,248.07	Professional		$3,388.44	$3,467.37	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $4,265.80	Professional		$3,019.95	$4,168.69	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,162.28 / $4,168.69	Professional		$5.01	$3,162.28	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $4,365.16	Professional		$1,584.89	$2,398.83	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Professional		$2,951.21	$2,951.21	$3,467.37