Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,258.93	Professional		$645.65	$831.76	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $6,025.60	Professional		$676.08	$1,071.52	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,801.89	Facility		$1,445.44	$1,995.26	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $4,786.30	Professional		$794.33	$1,318.26	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $2,691.53	Professional		$1,995.26	$2,238.72	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $4,073.80	Facility		$1,819.70	$3,162.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Professional		$758.58	$1,023.29	$1,584.89