Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $115.99 / $115.99	Professional		$115.11	$115.99	$115.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $35.15 / $224.50	Professional		$28.13	$35.15	$224.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $45.63 / $3,543.07	Professional		$32.77	$45.63	$3,543.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $931.06 / $4,006.00	Facility		$137.68	$931.06	$4,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $160.49 / $931.06	Professional		$71.70	$160.49	$931.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $242.05 / $641.19	Facility		$66.81	$242.05	$641.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $178.24 / $931.06	Professional		$51.47	$178.24	$931.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $138.68 / $199.81	Professional		$71.70	$138.68	$199.81