Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,570.40 / $6,760.83	Facility		$275.42	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $331.13	Professional		$204.17	$288.40	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $691.83	Professional		$346.74	$467.74	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $5,248.07	Facility		$263.03	$512.86	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $2,238.72	Professional		$316.23	$489.78	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $691.83	Professional		$346.74	$467.74	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $6,309.57	Facility		$2,511.89	$4,786.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $831.76	Professional		$295.12	$457.09	$831.76