Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $233.28 / $292.69	Facility		$131.59	$233.28	$292.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $233.28 / $233.28	Professional		$233.28	$233.28	$233.28
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 $66.45 / $106.11 / $2,489.36	Facility		$66.45	$106.11	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $118.45 / $463.54	Professional		$81.84	$118.45	$463.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $106.11 / $134.15	Facility		$83.37	$106.11	$134.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $106.11 / $134.15	Professional		$83.37	$106.11	$134.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.74 / $314.07 / $333.15	Professional		$295.74	$314.07	$333.15
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $107.39 / $203.32	Professional		$77.95	$107.39	$203.32