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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,725.00 / $6,335.00	Professional		$2,975.00	$4,725.00	$6,335.00
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 / $2,227.75 / $13,436.45	Professional		$2,100.00	$2,227.75	$13,436.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $4,900.00 / $7,670.55	Facility		$4,200.00	$4,900.00	$7,670.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $6,125.00 / $7,670.55	Professional		$4,200.00	$6,125.00	$7,670.55
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 / $7,630.00	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