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 $218.68 / $333.56 / $2,489.36	Facility		$218.68	$333.56	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.62 / $281.99 / $1,293.17	Professional		$223.62	$281.99	$1,293.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.73 / $303.31 / $386.24	Facility		$209.73	$303.31	$386.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $327.16 / $386.24	Professional		$231.23	$327.16	$386.24
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 Professional Modifier Low / Median / High Price $223.62 / $277.33 / $483.44	Professional		$223.62	$277.33	$483.44