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 $6.68 / $116.75 / $717.31	Professional		$6.68	$116.75	$717.31
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 $11.96 / $197.31 / $1,243.60	Facility		$11.96	$197.31	$1,243.60
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 / $1,165.24 / $1,936.09	Professional		$896.34	$1,165.24	$1,936.09