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 / $485.56 / $533.96	Professional		$231.23	$485.56	$533.96
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 $240.08 / $485.56 / $1,093.20	Facility		$240.08	$485.56	$1,093.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $451.14 / $1,293.17	Professional		$341.03	$451.14	$1,293.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.11 / $389.01 / $618.30	Facility		$289.11	$389.01	$618.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $485.56 / $618.30	Professional		$231.23	$485.56	$618.30
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 $357.37 / $444.09 / $1,028.16	Professional		$357.37	$444.09	$1,028.16