Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $877.84 / $1,521.47	Professional		$733.41	$877.84	$1,521.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.60 / $2,062.28 / $2,577.85	Professional		$1,258.60	$2,062.28	$2,577.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $565.36 / $981.23 / $3,438.73	Professional		$565.36	$981.23	$3,438.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,506.23 / $6,902.60 / $11,869.99	Facility		$1,506.23	$6,902.60	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.23 / $1,580.87 / $2,859.65	Professional		$1,010.23	$1,580.87	$2,859.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,614.46 / $3,371.87 / $4,921.68	Facility		$1,614.46	$3,371.87	$4,921.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,506.23 / $2,223.04 / $2,550.77	Professional		$1,506.23	$2,223.04	$2,550.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.28 / $2,041.02 / $4,374.88	Professional		$1,809.28	$2,041.02	$4,374.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $922.38 / $1,405.54 / $2,635.38	Professional		$922.38	$1,405.54	$2,635.38