Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $40.59 / $55.11	Professional		$30.05	$40.59	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $19.22 / $62.09	Professional		$15.38	$19.22	$62.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $18.66 / $22.52	Professional		$16.17	$18.66	$22.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $44.33 / $125.23	Facility		$27.60	$44.33	$125.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $183.37 / $249.89	Professional		$62.09	$183.37	$249.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $62.09 / $79.06	Facility		$27.60	$62.09	$79.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $62.09 / $79.06	Professional		$27.60	$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 $87.28 / $183.37 / $249.89	Professional		$87.28	$183.37	$249.89