Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $45.71	Professional		$28.84	$38.02	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $45.71	Professional		$15.49	$19.05	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $100.00 / $151.36	Professional		$16.22	$100.00	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $117.49	Facility		$40.74	$67.61	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $151.36 / $281.84	Professional		$53.70	$151.36	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $72.44	Professional		$45.71	$61.66	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Professional		$131.83	$151.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $123.03	Facility		$53.70	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $251.19	Professional		$53.70	$147.91	$251.19