Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $6,303.11 / $8,816.62	Facility		$3,240.00	$6,303.11	$8,816.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.40 / $2,494.80 / $3,142.80	Professional		$2,138.40	$2,494.80	$3,142.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $5,884.34 / $7,355.42	Professional		$3,888.00	$5,884.34	$7,355.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $4,374.00 / $16,560.00	Professional		$2,754.00	$4,374.00	$16,560.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,181.00 / $8,294.40	Facility		$3,240.00	$4,181.00	$8,294.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,174.04 / $12,173.56	Professional		$1,944.00	$2,174.04	$12,173.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,888.00 / $5,925.15 / $7,100.74	Facility		$3,888.00	$5,925.15	$7,100.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $7,017.55 / $8,456.40	Professional		$3,888.00	$7,017.55	$8,456.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $5,783.40	Professional		$3,240.00	$3,240.00	$5,783.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $1,944.00 / $6,633.90	Professional		$1,944.00	$1,944.00	$6,633.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Professional		$3,240.00	$3,240.00	$3,240.00