Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $1,820.00	Professional		$640.00	$640.00	$1,820.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.52 / $1,146.04 / $1,146.04	Professional		$1,008.52	$1,146.04	$1,146.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $826.20 / $1,013.40	Professional		$150.00	$826.20	$1,013.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.66 / $640.00 / $1,120.00	Facility		$443.66	$640.00	$1,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Professional		$1,146.04	$1,146.04	$1,146.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Facility		$1,146.04	$1,146.04	$1,146.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,146.04 / $1,146.04 / $1,146.04	Professional		$1,146.04	$1,146.04	$1,146.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.80 / $776.80 / $776.80	Professional		$776.80	$776.80	$776.80