Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $6,760.83	Facility		$1,348.96	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,513.56	Professional		$1,230.27	$1,348.96	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $3,715.35	Professional		$1,659.59	$2,691.53	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $7,413.10	Facility		$1,621.81	$2,630.27	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $4,897.79	Professional		$1,621.81	$2,398.83	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,691.53	Professional		$1,659.59	$1,995.26	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,079.46 / $34,673.69	Facility		$2,137.96	$7,079.46	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,365.16	Professional		$1,548.82	$2,344.23	$4,365.16