Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.48 / $1,362.54 / $1,362.54	Professional		$1,352.48	$1,362.54	$1,362.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.83 / $2,203.64 / $5,317.43	Professional		$1,689.83	$2,203.64	$5,317.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.20 / $2,050.04 / $2,559.01	Professional		$1,555.20	$2,050.04	$2,559.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,689.83 / $10,693.04 / $26,737.65	Facility		$1,689.83	$10,693.04	$26,737.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.29 / $2,957.85 / $11,594.96	Professional		$1,698.29	$2,957.85	$11,594.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,003.89 / $5,317.43 / $13,146.86	Facility		$2,003.89	$5,317.43	$13,146.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,689.83 / $2,551.71 / $3,635.31	Professional		$1,689.83	$2,551.71	$3,635.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,627.53 / $2,957.85 / $4,684.43	Professional		$1,627.53	$2,957.85	$4,684.43