Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.67 / $1,404.87 / $1,404.87	Professional		$1,397.67	$1,404.87	$1,404.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.50 / $1,764.50 / $1,764.50	Professional		$1,764.50	$1,764.50	$1,764.50
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 $1,764.50 / $5,732.00 / $13,568.64	Facility		$1,764.50	$5,732.00	$13,568.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,834.08 / $3,599.90 / $8,620.34	Professional		$1,834.08	$3,599.90	$8,620.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,683.08 / $3,782.40 / $6,077.06	Facility		$2,683.08	$3,782.40	$6,077.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,764.50 / $1,764.50 / $7,779.18	Professional		$1,764.50	$1,764.50	$7,779.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,834.08 / $3,148.50 / $4,975.39	Professional		$1,834.08	$3,148.50	$4,975.39