Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,727.03 / $13,605.90	Facility		$5,000.00	$9,727.03	$13,605.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,850.00 / $4,850.00	Professional		$3,300.00	$3,850.00	$4,850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $6,000.00 / $6,000.00	Facility		$6,000.00	$6,000.00	$6,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,500.00 / $9,081.10 / $11,351.38	Professional		$6,500.00	$9,081.10	$11,351.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $6,750.00 / $9,050.00	Professional		$4,250.00	$6,750.00	$9,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,850.00 / $6,500.00 / $13,752.20	Facility		$3,850.00	$6,500.00	$13,752.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $20,071.00	Professional		$3,000.00	$3,000.00	$20,071.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,000.00 / $6,500.00 / $13,752.20	Facility		$6,000.00	$6,500.00	$13,752.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $6,500.00 / $13,752.20	Professional		$6,000.00	$6,500.00	$13,752.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $8,925.00	Professional		$5,000.00	$5,000.00	$8,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $10,900.00	Professional		$3,000.00	$3,000.00	$10,900.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Professional		$5,000.00	$5,000.00	$5,000.00