Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.34 / $793.01 / $995.00	Facility		$447.34	$793.01	$995.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $227.18 / $262.17	Professional		$207.70	$227.18	$262.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.32 / $327.86 / $399.37	Professional		$296.32	$327.86	$399.37
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 $225.93 / $399.37 / $4,663.00	Facility		$225.93	$399.37	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $473.89 / $1,910.32	Professional		$278.45	$473.89	$1,910.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $327.86 / $1,067.43 / $1,321.43	Facility		$327.86	$1,067.43	$1,321.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.32 / $327.86 / $594.97	Professional		$296.32	$327.86	$594.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.90 / $338.90 / $338.90	Professional		$338.90	$338.90	$338.90
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 $266.33 / $411.62 / $788.21	Professional		$266.33	$411.62	$788.21