Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $7,003.46 / $9,796.25	Facility		$3,600.00	$7,003.46	$9,796.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.00 / $2,772.00 / $3,492.00	Professional		$2,376.00	$2,772.00	$3,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,538.44 / $8,173.06	Professional		$4,320.00	$6,538.44	$8,173.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $3,960.00 / $6,516.00	Professional		$150.00	$3,960.00	$6,516.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,653.00 / $9,216.00	Facility		$3,600.00	$4,653.00	$9,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,232.00 / $11,617.56	Professional		$2,160.00	$2,232.00	$11,617.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $5,040.00 / $7,889.70	Facility		$4,320.00	$5,040.00	$7,889.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,300.00 / $8,424.00	Professional		$4,320.00	$6,300.00	$8,424.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $6,426.00	Professional		$3,600.00	$3,600.00	$6,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $6,660.00	Professional		$2,160.00	$2,160.00	$6,660.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00