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 $4,203.47 / $6,356.97 / $7,946.21	Professional		$4,203.47	$6,356.97	$7,946.21
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 / $2,170.00 / $11,294.85	Professional		$2,100.00	$2,170.00	$11,294.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $4,900.00 / $7,210.00	Facility		$4,200.00	$4,900.00	$7,210.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,809.32 / $7,210.00	Professional		$4,200.00	$4,809.32	$7,210.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $6,247.50	Professional		$3,500.00	$3,500.00	$6,247.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $7,166.25	Professional		$2,100.00	$2,100.00	$7,166.25
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