Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,616.01 / $2,616.01 / $2,616.01	Professional		$2,616.01	$2,616.01	$2,616.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,184.37 / $2,184.37 / $2,730.46	Professional		$2,184.37	$2,184.37	$2,730.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.10 / $1,071.13 / $4,814.66	Professional		$807.10	$1,071.13	$4,814.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,434.97 / $2,311.34 / $3,884.07	Facility		$1,434.97	$2,311.34	$3,884.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $1,219.80 / $5,573.95	Professional		$130.15	$1,219.80	$5,573.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,101.38 / $2,072.08 / $3,009.87	Facility		$1,101.38	$2,072.08	$3,009.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,669.24 / $2,268.31 / $3,606.24	Professional		$1,669.24	$2,268.31	$3,606.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.91 / $1,805.38 / $2,036.92	Professional		$1,357.91	$1,805.38	$2,036.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.58 / $2,689.23 / $3,275.71	Facility		$1,643.58	$2,689.23	$3,275.71
United Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $1,058.95 / $1,569.48	Professional		$360.36	$1,058.95	$1,569.48