Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.80 / $1,988.80 / $1,988.80	Facility		$1,988.80	$1,988.80	$1,988.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.32 / $3,344.00 / $5,055.79	Professional		$2,472.32	$3,344.00	$5,055.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,572.92 / $4,098.52 / $6,369.79	Facility		$2,572.92	$4,098.52	$6,369.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,298.76 / $4,646.63 / $6,039.97	Facility		$3,298.76	$4,646.63	$6,039.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $1,792.66 / $3,096.40	Facility		$203.09	$1,792.66	$3,096.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00