Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $45.11 / $55.11	Professional		$40.75	$45.11	$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 / $79.39 / $151.44	Professional		$17.89	$79.39	$151.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $62.09 / $271.77	Facility		$40.75	$62.09	$271.77
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 / $53.01 / $57.37	Professional		$44.30	$53.01	$57.37
United Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $190.17 / $275.61	Professional		$101.06	$190.17	$275.61