Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $78.23 / $96.19	Professional		$74.42	$78.23	$96.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $107.65 / $131.57	Professional		$92.59	$107.65	$131.57
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 $74.42 / $83.61 / $130.97	Facility		$74.42	$83.61	$130.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $104.38 / $515.54	Professional		$82.63	$104.38	$515.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $118.38 / $149.56	Facility		$92.59	$118.38	$149.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $118.38 / $149.56	Professional		$92.59	$118.38	$149.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.10 / $110.10	Professional		$110.10	$110.10	$110.10
United Facility/Professional Facility Modifier Low / Median / High Price $113.52 / $113.52 / $168.18	Facility		$113.52	$113.52	$168.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $102.83 / $234.31	Professional		$79.84	$102.83	$234.31