Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $409.79 / $514.16	Facility		$231.17	$409.79	$514.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $450.10 / $944.96	Professional		$85.03	$450.10	$944.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $1,243.60 / $1,367.58	Professional		$49.36	$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 $49.36 / $205.48 / $1,367.58	Facility		$49.36	$205.48	$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 $49.36 / $636.17 / $1,243.60	Facility		$49.36	$636.17	$1,243.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $636.17 / $1,367.58	Professional		$49.36	$636.17	$1,367.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.20 / $55.20	Professional		$55.20	$55.20	$55.20
United Facility/Professional Professional Modifier Low / Median / High Price $896.34 / $1,145.52 / $1,957.01	Professional		$896.34	$1,145.52	$1,957.01