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 $3,060.00 / $4,860.00 / $6,516.00	Professional		$3,060.00	$4,860.00	$6,516.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,680.00 / $9,901.58	Facility		$3,600.00	$4,680.00	$9,901.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,291.40 / $14,062.59	Professional		$2,160.00	$2,291.40	$14,062.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $6,300.00 / $9,289.98	Facility		$4,320.00	$6,300.00	$9,289.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,300.00 / $9,901.58	Professional		$4,320.00	$6,300.00	$9,901.58
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 / $7,848.00	Professional		$2,160.00	$2,160.00	$7,848.00
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