Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,569.26 / $5,442.36	Facility		$2,000.00	$3,569.26	$5,442.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,740.00 / $1,940.00	Professional		$1,320.00	$1,740.00	$1,940.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.98 / $3,632.83 / $4,541.04	Professional		$2,401.98	$3,632.83	$4,541.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,605.96 / $3,500.00	Professional		$2,200.00	$2,605.96	$3,500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,401.98 / $4,600.00	Facility		$2,000.00	$2,401.98	$4,600.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $2,000.00 / $7,850.70	Professional		$1,200.00	$2,000.00	$7,850.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,667.20 / $4,444.55	Facility		$2,400.00	$3,667.20	$4,444.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $3,667.20 / $5,100.00	Professional		$2,400.00	$3,667.20	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,570.00	Professional		$2,000.00	$2,000.00	$3,570.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $3,700.00	Professional		$1,200.00	$1,200.00	$3,700.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Professional		$2,000.00	$2,000.00	$2,000.00