Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,880.80 / $7,003.46 / $9,796.25	Facility		$3,880.80	$7,003.46	$9,796.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.00 / $2,772.00 / $3,492.00	Professional		$2,376.00	$2,772.00	$3,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,323.57 / $6,538.44 / $8,173.06	Professional		$4,323.57	$6,538.44	$8,173.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $6,109.82 / $6,516.00	Professional		$3,960.00	$6,109.82	$6,516.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,645.56 / $9,216.00	Facility		$3,600.00	$4,645.56	$9,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $3,240.00 / $13,526.18	Professional		$2,160.00	$3,240.00	$13,526.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $5,040.00 / $7,889.70	Facility		$4,320.00	$5,040.00	$7,889.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $6,583.50 / $9,396.00	Professional		$4,320.00	$6,583.50	$9,396.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $6,426.00	Professional		$3,600.00	$3,600.00	$6,426.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,400.00 / $5,400.00 / $5,400.00	Facility		$5,400.00	$5,400.00	$5,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $7,371.00	Professional		$2,160.00	$2,160.00	$7,371.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00