Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,786.30 / $7,585.78	Facility		$436.52	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $912.01	Professional		$239.88	$446.68	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $575.44 / $7,943.28	Facility		$281.84	$575.44	$7,943.28
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	52	$6,025.60	$6,025.60	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $691.83	Professional		$457.09	$575.44	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $8,912.51	Facility		$2,951.21	$6,309.57	$8,912.51