Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.12 / $933.12 / $933.12	Facility		$933.12	$933.12	$933.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $58.94 / $80.44	Professional		$32.63	$58.94	$80.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.80 / $181.07 / $186.35	Facility		$175.80	$181.07	$186.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $337.43 / $421.79	Professional		$95.54	$337.43	$421.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $174.27 / $505.65	Facility		$79.58	$174.27	$505.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $255.85 / $620.54	Professional		$132.18	$255.85	$620.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.18 / $185.00 / $239.16	Facility		$132.18	$185.00	$239.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $174.27 / $304.50	Professional		$126.63	$174.27	$304.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $272.30 / $272.30	Professional		$272.30	$272.30	$272.30