Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $6,808.92 / $9,524.12	Facility		$3,500.00	$6,808.92	$9,524.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,695.00 / $3,395.00	Professional		$2,310.00	$2,695.00	$3,395.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $6,356.97 / $7,946.21	Professional		$4,200.00	$6,356.97	$7,946.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,725.00 / $17,888.88	Professional		$2,975.00	$4,725.00	$17,888.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $4,516.51 / $8,960.00	Facility		$3,500.00	$4,516.51	$8,960.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,500.00 / $13,769.26	Professional		$2,100.00	$3,500.00	$13,769.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $6,663.06 / $9,879.50	Facility		$4,200.00	$6,663.06	$9,879.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $6,793.50 / $8,925.00	Professional		$4,200.00	$6,793.50	$8,925.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,405.50 / $3,500.00 / $6,247.50	Professional		$3,405.50	$3,500.00	$6,247.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $7,630.00	Professional		$2,100.00	$2,100.00	$7,630.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00