Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,793.54 / $5,306.30	Facility		$1,950.00	$3,793.54	$5,306.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,501.50 / $1,891.50	Professional		$1,287.00	$1,501.50	$1,891.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $2,340.00	Facility		$2,340.00	$2,340.00	$2,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,535.00 / $3,541.44 / $4,426.80	Professional		$2,535.00	$3,541.44	$4,426.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $2,632.50 / $3,529.50	Professional		$1,657.50	$2,632.50	$3,529.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $5,363.36	Facility		$1,950.00	$2,340.00	$5,363.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $7,827.69	Professional		$1,170.00	$1,170.00	$7,827.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,535.00 / $5,363.36	Facility		$2,340.00	$2,535.00	$5,363.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,535.00 / $5,363.36	Professional		$2,340.00	$2,535.00	$5,363.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,480.75	Professional		$1,950.00	$1,950.00	$3,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $4,485.00	Facility		$1,950.00	$1,950.00	$4,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $4,931.55	Professional		$1,170.00	$1,170.00	$4,931.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00