Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,173.23 / $3,432.72 / $4,109.80	Professional		$3,173.23	$3,432.72	$4,109.80
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 $3,432.72 / $5,320.72 / $46,710.40	Facility		$3,432.72	$5,320.72	$46,710.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,830.36 / $5,004.77 / $12,412.53	Professional		$3,830.36	$5,004.77	$12,412.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,092.14 / $15,721.05 / $18,789.52	Facility		$14,092.14	$15,721.05	$18,789.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.80 / $5,082.80 / $5,082.80	Professional		$5,082.80	$5,082.80	$5,082.80
United Facility/Professional Facility Modifier Low / Median / High Price $16,875.68 / $16,875.68 / $25,001.00	Facility		$16,875.68	$16,875.68	$25,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,830.36 / $4,905.58 / $10,920.01	Professional		$3,830.36	$4,905.58	$10,920.01