Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $40.96 / $55.11	Professional		$37.92	$40.96	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $19.22 / $68.28	Professional		$15.38	$19.22	$68.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $100.96 / $151.44	Professional		$17.89	$100.96	$151.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $54.29 / $100.96	Facility		$40.75	$54.29	$100.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $190.17 / $280.19	Professional		$62.09	$190.17	$280.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $62.09 / $79.06	Facility		$45.41	$62.09	$79.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $62.09 / $79.06	Professional		$45.41	$62.09	$79.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $76.73 / $83.15	Professional		$44.30	$76.73	$83.15
United Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $170.88 / $249.89	Professional		$101.06	$170.88	$249.89