Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.44 / $581.44 / $624.63	Facility		$581.44	$581.44	$624.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.79 / $1,010.97 / $1,049.66	Professional		$677.79	$1,010.97	$1,049.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $827.41 / $1,014.88	Professional		$150.00	$827.41	$1,014.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.32 / $915.68 / $1,410.15	Facility		$403.32	$915.68	$1,410.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,134.58	Professional		$872.08	$872.08	$1,134.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $479.00 / $1,240.79	Facility		$284.83	$479.00	$1,240.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $499.78 / $1,240.79	Professional		$240.06	$499.78	$1,240.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $635.29 / $694.50 / $765.60	Professional		$635.29	$694.50	$765.60
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,518.64	Professional		$872.08	$872.08	$1,518.64