Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,042.50 / $7,295.27 / $10,204.40	Facility		$4,042.50	$7,295.27	$10,204.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.00 / $3,262.50 / $3,637.50	Professional		$2,475.00	$3,262.50	$3,637.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,503.72 / $6,811.32 / $8,514.14	Professional		$4,503.72	$6,811.32	$8,514.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,125.00 / $6,562.50 / $7,343.37	Professional		$4,125.00	$6,562.50	$7,343.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $4,839.12 / $8,625.00	Facility		$3,750.00	$4,839.12	$8,625.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $3,750.00 / $11,193.29	Professional		$1,752.18	$3,750.00	$11,193.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $5,723.07 / $8,218.45	Facility		$4,500.00	$5,723.07	$8,218.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $5,804.08 / $8,218.45	Professional		$4,500.00	$5,804.08	$8,218.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $6,693.75	Professional		$3,750.00	$3,750.00	$6,693.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,858.77 / $2,250.00 / $8,439.67	Professional		$1,858.77	$2,250.00	$8,439.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00