Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $443.74 / $443.74	Facility		$375.00	$443.74	$443.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $201.79 / $275.00	Professional		$189.83	$201.79	$275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $231.23 / $327.16	Professional		$231.23	$231.23	$327.16
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 $185.85 / $261.17 / $2,489.36	Facility		$185.85	$261.17	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $231.23 / $1,293.17	Professional		$173.52	$231.23	$1,293.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $235.42 / $373.77	Facility		$155.69	$235.42	$373.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $258.89 / $373.77	Professional		$231.23	$258.89	$373.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $265.89 / $265.89	Professional		$265.89	$265.89	$265.89
United Facility/Professional Facility Modifier Low / Median / High Price $241.04 / $241.04 / $357.10	Facility		$241.04	$241.04	$357.10
United Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $213.20 / $376.79	Professional		$173.26	$213.20	$376.79