Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $108.18 / $135.72	Facility		$61.02	$108.18	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $108.18 / $108.18	Professional		$108.18	$108.18	$108.18
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 $34.52 / $533.04 / $5,131.85	Facility		$34.52	$533.04	$5,131.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $57.22 / $5,749.92	Professional		$34.86	$57.22	$5,749.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $49.79 / $1,307.24	Facility		$40.65	$49.79	$1,307.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $49.79 / $1,307.24	Professional		$40.65	$49.79	$1,307.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.68 / $1,795.39 / $1,904.60	Professional		$1,688.68	$1,795.39	$1,904.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.78 / $2,003.99 / $2,590.26	Facility		$1,224.78	$2,003.99	$2,590.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $46.59 / $86.73	Professional		$33.20	$46.59	$86.73