Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.44 / $1,336.34 / $1,336.34	Professional		$1,326.44	$1,336.34	$1,336.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.91 / $1,974.41 / $2,686.49	Professional		$1,651.91	$1,974.41	$2,686.49
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 $1,651.91 / $2,337.00 / $7,305.00	Facility		$1,651.91	$2,337.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,637.36 / $2,765.18 / $10,709.60	Professional		$1,637.36	$2,765.18	$10,709.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $978.26 / $2,514.17 / $3,851.85	Facility		$978.26	$2,514.17	$3,851.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,651.91 / $1,974.41 / $3,748.48	Professional		$1,651.91	$1,974.41	$3,748.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.67 / $2,765.18 / $4,369.64	Professional		$1,543.67	$2,765.18	$4,369.64