Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,147.33 / $5,679.80 / $7,944.75	Facility		$3,147.33	$5,679.80	$7,944.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.94 / $2,248.09 / $2,832.01	Professional		$1,926.94	$2,248.09	$2,832.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,021.79 / $6,356.97 / $7,946.21	Professional		$4,021.79	$6,356.97	$7,946.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,725.00 / $6,335.00	Professional		$2,975.00	$4,725.00	$6,335.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,773.62 / $4,200.00 / $6,853.53	Facility		$2,773.62	$4,200.00	$6,853.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,858.33 / $11,404.77	Professional		$1,751.76	$1,858.33	$11,404.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,161.72 / $4,907.81 / $6,853.53	Facility		$4,161.72	$4,907.81	$6,853.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,161.72 / $5,109.30 / $7,534.18	Professional		$4,161.72	$5,109.30	$7,534.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $6,247.50	Professional		$3,500.00	$3,500.00	$6,247.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,751.76 / $5,401.26	Professional		$1,751.76	$1,751.76	$5,401.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Professional		$3,500.00	$3,500.00	$3,500.00