Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.77 / $797.65 / $986.19	Professional		$736.77	$797.65	$986.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.29 / $1,159.40 / $1,409.99	Professional		$1,042.29	$1,159.40	$1,409.99
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 $797.65 / $1,372.50 / $5,373.50	Facility		$797.65	$1,372.50	$5,373.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $983.26 / $1,672.80 / $6,755.28	Professional		$983.26	$1,672.80	$6,755.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,159.40 / $1,409.99 / $2,030.75	Facility		$1,159.40	$1,409.99	$2,030.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,042.29 / $1,159.40 / $2,078.82	Professional		$1,042.29	$1,159.40	$2,078.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $1,194.59	Professional		$4.00	$4.00	$1,194.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.51 / $1,525.22 / $2,783.31	Professional		$940.51	$1,525.22	$2,783.31