Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $16,536.00 / $23,130.10	Facility		$8,500.00	$16,536.00	$23,130.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,610.01 / $6,545.01 / $8,245.01	Professional		$5,610.01	$6,545.01	$8,245.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $10,200.00 / $10,200.00	Facility		$10,200.00	$10,200.00	$10,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,050.00 / $15,438.72 / $19,298.40	Professional		$11,050.00	$15,438.72	$19,298.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,225.00 / $11,475.00 / $15,385.00	Professional		$7,225.00	$11,475.00	$15,385.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $10,200.00 / $23,378.74	Facility		$8,500.00	$10,200.00	$23,378.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $34,120.69	Professional		$5,100.00	$5,100.00	$34,120.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $11,050.00 / $23,378.74	Facility		$10,200.00	$11,050.00	$23,378.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,200.00 / $11,050.00 / $23,378.74	Professional		$10,200.00	$11,050.00	$23,378.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $15,172.50	Professional		$8,500.00	$8,500.00	$15,172.50
United Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $18,530.00	Professional		$5,100.00	$5,100.00	$18,530.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Professional		$8,500.00	$8,500.00	$8,500.00