Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $7,149.36 / $10,000.29	Facility		$3,675.00	$7,149.36	$10,000.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,197.25 / $3,197.25 / $3,564.75	Professional		$3,197.25	$3,197.25	$3,564.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,413.64 / $6,674.88 / $8,343.60	Professional		$4,413.64	$6,674.88	$8,343.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,123.75 / $4,961.25 / $6,651.75	Professional		$3,123.75	$4,961.25	$6,651.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $4,742.34 / $9,408.00	Facility		$3,675.00	$4,742.34	$9,408.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,339.14 / $14,108.26	Professional		$2,205.00	$2,339.14	$14,108.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,410.00 / $6,431.25 / $8,600.41	Facility		$4,410.00	$6,431.25	$8,600.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,410.00 / $6,791.40 / $8,600.41	Professional		$4,410.00	$6,791.40	$8,600.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $6,559.88	Professional		$3,675.00	$3,675.00	$6,559.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,205.00 / $7,524.56	Professional		$2,205.00	$2,205.00	$7,524.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Professional		$3,675.00	$3,675.00	$3,675.00