Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,981.07 / $6,760.83	Facility		$758.58	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $3,981.07	Professional		$512.86	$776.25	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $6,760.83	Facility		$2,089.30	$2,187.76	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,348.96	Professional		$1,071.52	$1,230.27	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,513.56	Professional		$1,000.00	$1,096.48	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $14,454.40	Facility		$758.58	$1,348.96	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,023.29 / $6,456.54	Professional		$338.84	$1,023.29	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,995.26	Professional		$1,000.00	$1,348.96	$1,995.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $6,760.83	Facility		$2,238.72	$2,238.72	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,230.27	Professional		$1,000.00	$1,122.02	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $977.24 / $977.24	Professional		$5.01	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,511.38 / $15,848.93	Facility		$3,715.35	$8,511.38	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $707.95 / $1,513.56	Professional		$309.03	$707.95	$1,513.56