Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $29.93 / $35.65	Professional		$28.78	$29.93	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $48.28 / $58.55	Professional		$38.63	$48.28	$58.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $30.62 / $44.37	Professional		$24.02	$30.62	$44.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $33.75 / $58.55	Facility		$22.31	$33.75	$58.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $35.76 / $65.72	Professional		$24.36	$35.76	$65.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $58.55 / $63.11	Facility		$49.58	$58.55	$63.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $55.19 / $64.38	Professional		$41.09	$55.19	$64.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $102.08 / $108.31	Professional		$95.71	$102.08	$108.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $33.77 / $57.36	Professional		$23.59	$33.77	$57.36