Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.70 / $483.70 / $929.72	Facility		$483.70	$483.70	$929.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $1,119.45	Professional		$386.96	$401.47	$1,119.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $435.34 / $552.88	Professional		$411.15	$435.34	$552.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.78 / $722.43 / $1,093.50	Professional		$597.78	$722.43	$1,093.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $483.70 / $695.76	Facility		$386.96	$483.70	$695.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $443.39 / $1,838.06	Professional		$403.08	$443.39	$1,838.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $503.43 / $576.80 / $833.18	Facility		$503.43	$576.80	$833.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $532.13 / $845.76	Professional		$415.40	$532.13	$845.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $614.90 / $961.40	Professional		$27.40	$614.90	$961.40
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $535.21	Professional		$403.08	$427.26	$535.21