Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $5,894.58 / $8,245.18	Facility		$3,030.00	$5,894.58	$8,245.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,189.18 / $8,189.18 / $8,189.18	Professional		$8,189.18	$8,189.18	$8,189.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,636.00 / $5,503.10 / $6,878.88	Professional		$3,636.00	$5,503.10	$6,878.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.50 / $4,090.50 / $15,486.66	Professional		$2,575.50	$4,090.50	$15,486.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,910.01 / $7,756.80	Facility		$3,030.00	$3,910.01	$7,756.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $2,033.13 / $11,384.53	Professional		$1,818.00	$2,033.13	$11,384.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,636.00 / $4,600.67 / $6,640.50	Facility		$3,636.00	$4,600.67	$6,640.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,636.00 / $5,541.11 / $7,908.30	Professional		$3,636.00	$5,541.11	$7,908.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $5,408.55	Professional		$3,030.00	$3,030.00	$5,408.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $6,605.40	Professional		$1,818.00	$1,818.00	$6,605.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00