Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $21,415.50 / $32,654.20	Facility		$12,000.00	$21,415.50	$32,654.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,240.00 / $9,240.00 / $11,640.00	Professional		$9,240.00	$9,240.00	$11,640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,789.24 / $21,795.69 / $27,244.61	Professional		$13,789.24	$21,795.69	$27,244.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,200.00 / $15,600.00 / $21,000.00	Professional		$10,200.00	$15,600.00	$21,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,240.00 / $15,485.18 / $47,104.22	Facility		$9,240.00	$15,485.18	$47,104.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,200.00 / $12,000.00 / $38,725.19	Professional		$7,200.00	$12,000.00	$38,725.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,411.89 / $22,003.19 / $30,720.00	Facility		$14,411.89	$22,003.19	$30,720.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,400.00 / $22,003.19 / $30,600.00	Professional		$14,400.00	$22,003.19	$30,600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $21,420.00	Professional		$12,000.00	$12,000.00	$21,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,200.00 / $7,200.00 / $27,600.00	Professional		$7,200.00	$7,200.00	$27,600.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,480.00 / $12,000.00 / $12,000.00	Professional		$9,480.00	$12,000.00	$12,000.00