Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $6,225.30 / $8,707.78	Facility		$3,200.00	$6,225.30	$8,707.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,784.00 / $3,104.00	Professional		$2,112.00	$2,784.00	$3,104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $5,812.53 / $7,265.66	Professional		$3,840.00	$5,812.53	$7,265.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $4,320.00 / $5,792.00	Professional		$2,720.00	$4,320.00	$5,792.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $4,160.00 / $8,192.00	Facility		$3,200.00	$4,160.00	$8,192.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $2,036.80 / $12,500.08	Professional		$1,920.00	$2,036.80	$12,500.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $5,600.00 / $7,488.00	Facility		$3,840.00	$5,600.00	$7,488.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $5,724.22 / $7,488.00	Professional		$3,840.00	$5,724.22	$7,488.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $5,712.00	Professional		$3,200.00	$3,200.00	$5,712.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $1,920.00 / $10,326.71	Professional		$1,920.00	$1,920.00	$10,326.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00