Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $7,003.46 / $9,796.25	Facility		$3,600.00	$7,003.46	$9,796.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.00 / $2,772.00 / $3,492.00	Professional		$2,376.00	$2,772.00	$3,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,538.44 / $8,173.06	Professional		$4,320.00	$6,538.44	$8,173.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $4,860.00 / $18,400.00	Professional		$3,060.00	$4,860.00	$18,400.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,645.56 / $9,216.00	Facility		$3,600.00	$4,645.56	$9,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $14,162.69	Professional		$2,160.00	$3,600.00	$14,162.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $6,853.42 / $10,161.77	Facility		$4,320.00	$6,853.42	$10,161.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,987.60 / $9,180.00	Professional		$4,320.00	$6,987.60	$9,180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,502.80 / $3,600.00 / $6,426.00	Professional		$3,502.80	$3,600.00	$6,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $7,848.00	Professional		$2,160.00	$2,160.00	$7,848.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00