Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $831.76 / $954.99	Facility		$269.15	$831.76	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $338.84	Professional		$245.47	$269.15	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $831.76	Professional		$676.08	$676.08	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $457.09 / $630.96	Professional		$151.36	$457.09	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $891.25	Facility		$346.74	$416.87	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,412.54	Professional		$208.93	$346.74	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $741.31	Professional		$338.84	$380.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $524.81	Facility		$346.74	$346.74	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $758.58	Professional		$208.93	$208.93	$758.58