Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.68 / $4,488.00 / $7,120.36	Facility		$1,862.68	$4,488.00	$7,120.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.62 / $925.94 / $2,483.91	Professional		$575.62	$925.94	$2,483.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $980.36 / $1,531.70 / $7,896.02	Facility		$980.36	$1,531.70	$7,896.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,146.27 / $1,553.00 / $2,961.89	Facility		$1,146.27	$1,553.00	$2,961.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.49 / $1,654.49 / $1,654.49	Facility		$1,654.49	$1,654.49	$1,654.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00