Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.19 / $517.97 / $649.90	Facility		$292.19	$517.97	$649.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.97 / $517.97 / $517.97	Professional		$517.97	$517.97	$517.97
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 $147.57 / $260.86 / $5,622.32	Facility		$147.57	$260.86	$5,622.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $296.64 / $6,299.47	Professional		$181.14	$296.64	$6,299.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $260.86 / $1,432.20	Facility		$213.07	$260.86	$1,432.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $260.86 / $1,432.20	Professional		$213.07	$260.86	$1,432.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,707.01 / $2,878.19 / $3,053.33	Professional		$2,707.01	$2,878.19	$3,053.33
United Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $256.45 / $449.77	Professional		$174.21	$256.45	$449.77