Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,786.30 / $6,918.31	Facility		$1,949.84	$4,786.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,511.89	Professional		$1,737.80	$1,995.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,311.31	Professional		$2,630.27	$3,019.95	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,235.94 / $4,570.88	Professional		$151.36	$3,235.94	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $5,754.40	Facility		$2,511.89	$3,019.95	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $10,000.00	Professional		$1,513.56	$2,511.89	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $5,370.32	Professional		$2,454.71	$2,691.53	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,754.40	Facility		$2,511.89	$2,511.89	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $6,309.57	Professional		$1,513.56	$1,513.56	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89