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 $1,151.39 / $2,024.80 / $2,024.80	Professional		$1,151.39	$2,024.80	$2,024.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,696.49 / $3,055.54 / $3,484.52	Professional		$2,696.49	$3,055.54	$3,484.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.58 / $1,943.58 / $3,384.92	Professional		$1,121.58	$1,943.58	$3,384.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.67 / $3,349.56 / $14,396.24	Facility		$1,713.67	$3,349.56	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,444.32 / $2,832.63 / $14,283.70	Professional		$1,444.32	$2,832.63	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.00 / $3,695.61 / $5,383.60	Facility		$2,091.00	$3,695.61	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,913.00 / $2,696.49 / $3,695.61	Professional		$1,913.00	$2,696.49	$3,695.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,290.19 / $3,206.00	Professional		$5.00	$2,290.19	$3,206.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.09 / $2,484.29 / $3,810.36	Professional		$1,346.09	$2,484.29	$3,810.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,335.80 / $2,335.80 / $2,748.00	Professional		$2,335.80	$2,335.80	$2,748.00