Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.46 / $670.90 / $841.78	Facility		$378.46	$670.90	$841.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $450.10 / $944.96	Professional		$154.94	$450.10	$944.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $1,243.60 / $1,367.58	Professional		$192.37	$1,243.60	$1,367.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.14 / $354.78 / $1,367.58	Facility		$191.14	$354.78	$1,367.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $854.02 / $1,167.21 / $3,657.26	Professional		$854.02	$1,167.21	$3,657.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.37 / $636.17 / $1,243.60	Facility		$192.37	$636.17	$1,243.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $636.17 / $1,367.58	Professional		$192.37	$636.17	$1,367.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $223.90 / $223.90	Professional		$223.90	$223.90	$223.90
United Facility/Professional Professional Modifier Low / Median / High Price $896.34 / $1,167.21 / $2,089.67	Professional		$896.34	$1,167.21	$2,089.67