Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,771.26 / $11,113.54	Facility		$1,500.00	$5,771.26	$11,113.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $667.70 / $1,157.94 / $2,197.21	Professional		$667.70	$1,157.94	$2,197.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,085.42 / $1,729.60 / $11,716.00	Facility		$1,085.42	$1,729.60	$11,716.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,302.24 / $12,302.24 / $12,302.24	Facility	52	$12,302.24	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,205.00 / $1,908.18 / $5,275.65	Facility		$1,205.00	$1,908.18	$5,275.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,313.22 / $12,477.44 / $25,400.53	Facility		$6,313.22	$12,477.44	$25,400.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00