Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.28 / $3,528.00 / $8,550.00	Facility		$1,586.28	$3,528.00	$8,550.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $846.80 / $1,298.45 / $3,129.12	Professional		$846.80	$1,298.45	$3,129.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,063.50 / $2,246.92 / $14,479.00	Facility		$1,063.50	$2,246.92	$14,479.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,655.67 / $2,429.65 / $6,616.19	Facility		$1,655.67	$2,429.65	$6,616.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,452.94 / $5,452.94 / $5,452.94	Facility		$5,452.94	$5,452.94	$5,452.94
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $11,555.00 / $18,346.22	Facility		$8,220.00	$11,555.00	$18,346.22