Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.92 / $377.60 / $1,049.21	Facility		$298.92	$377.60	$1,049.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $300.60 / $324.00	Professional		$246.05	$300.60	$324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.07 / $432.41 / $528.40	Professional		$372.07	$432.41	$528.40
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 $334.79 / $528.40 / $1,465.35	Facility		$334.79	$528.40	$1,465.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $418.59 / $2,070.79	Professional		$312.36	$418.59	$2,070.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.07 / $475.52 / $601.13	Facility		$372.07	$475.52	$601.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $372.07 / $475.52 / $601.13	Professional		$372.07	$475.52	$601.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.50 / $425.50 / $425.50	Professional		$425.50	$425.50	$425.50
United Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $406.07 / $746.54	Professional		$312.36	$406.07	$746.54