Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.00 / $2,505.91 / $2,505.91	Facility		$1,990.00	$2,505.91	$2,505.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,300.00 / $1,300.00	Professional		$1,130.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,766.68 / $4,766.68 / $5,958.35	Professional		$4,766.68	$4,766.68	$5,958.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.94 / $2,896.41 / $5,735.67	Professional		$1,930.94	$2,896.41	$5,735.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $1,964.59 / $5,561.72	Facility		$145.66	$1,964.59	$5,561.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $2,850.44 / $5,835.64	Professional		$251.00	$2,850.44	$5,835.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $1,360.10 / $2,523.46	Facility		$202.82	$1,360.10	$2,523.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $247.04 / $5,835.64	Professional		$181.57	$247.04	$5,835.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $164.36 / $2,101.02	Professional		$91.63	$164.36	$2,101.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,456.06 / $2,850.44 / $5,233.38	Professional		$2,456.06	$2,850.44	$5,233.38