Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,727.03 / $13,605.90	Facility		$5,000.00	$9,727.03	$13,605.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,850.00 / $4,850.00	Professional		$3,300.00	$3,850.00	$4,850.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $9,081.10 / $11,351.38	Professional		$6,000.00	$9,081.10	$11,351.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $6,750.00 / $9,050.00	Professional		$4,250.00	$6,750.00	$9,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $6,452.16 / $12,800.00	Facility		$5,000.00	$6,452.16	$12,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,182.50 / $19,194.91	Professional		$3,000.00	$3,182.50	$19,194.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $7,000.00 / $10,957.92	Facility		$6,000.00	$7,000.00	$10,957.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $8,750.00 / $10,957.92	Professional		$6,000.00	$8,750.00	$10,957.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $8,925.00	Professional		$5,000.00	$5,000.00	$8,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $10,237.50	Professional		$3,000.00	$3,000.00	$10,237.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Professional		$5,000.00	$5,000.00	$5,000.00