Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.30 / $648.30 / $1,105.02	Facility		$520.30	$648.30	$1,105.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $339.31	Professional		$297.32	$308.47	$339.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $321.72 / $409.69	Professional		$163.19	$321.72	$409.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $238.32 / $815.49	Professional		$16.67	$238.32	$815.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $297.32 / $446.35	Facility		$152.16	$297.32	$446.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.22 / $340.68 / $1,255.67	Professional		$294.22	$340.68	$1,255.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $174.41 / $240.70	Facility		$152.16	$174.41	$240.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $190.20 / $446.35	Professional		$152.16	$190.20	$446.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $254.20 / $378.90	Professional		$27.40	$254.20	$378.90
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $319.00 / $368.55	Professional		$309.70	$319.00	$368.55