Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $325.06 / $407.85	Facility		$183.37	$325.06	$407.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $165.55 / $330.54	Professional		$92.61	$165.55	$330.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.06 / $434.63	Professional		$47.25	$59.06	$434.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $59.72 / $72.06	Professional		$51.75	$59.72	$72.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $197.16 / $477.97	Facility		$92.61	$197.16	$477.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.71 / $1,075.60 / $1,729.94	Professional		$328.71	$1,075.60	$1,729.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.13 / $328.71 / $434.63	Facility		$119.13	$328.71	$434.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $328.71 / $477.97	Professional		$119.13	$328.71	$477.97
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 $386.42 / $1,075.60 / $1,901.85	Professional		$386.42	$1,075.60	$1,901.85