Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $160.05 / $1,082.74	Facility		$70.72	$160.05	$1,082.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $133.88 / $1,101.59	Professional		$102.14	$133.88	$1,101.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $110.16 / $110.16	Professional		$88.13	$110.16	$110.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $330.00 / $333.60	Professional		$150.00	$330.00	$333.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $172.62 / $276.13	Facility		$119.37	$172.62	$276.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $249.56 / $258.91	Professional		$249.56	$249.56	$258.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.12 / $285.12 / $285.12	Facility		$285.12	$285.12	$285.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $258.91 / $277.44	Professional		$249.56	$258.91	$277.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.43 / $8,623.51 / $12,603.58	Facility		$1,666.43	$8,623.51	$12,603.58