Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $550.00 / $6,557.60	Facility		$54.93	$550.00	$6,557.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $180.04 / $494.18	Professional		$94.74	$180.04	$494.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.81 / $262.45 / $270.10	Facility		$254.81	$262.45	$270.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $337.43 / $421.79	Professional		$137.41	$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 $91.92 / $187.91 / $2,600.00	Facility		$91.92	$187.91	$2,600.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $481.81 / $1,257.00	Professional		$187.91	$481.81	$1,257.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $187.91 / $322.67	Facility		$77.78	$187.91	$322.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.94 / $202.82 / $573.86	Professional		$179.94	$202.82	$573.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $127.10 / $127.10	Professional		$127.10	$127.10	$127.10