Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $40.54 / $52.54	Professional		$27.90	$40.54	$52.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.06 / $110.86	Professional		$47.25	$59.06	$110.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $48.23 / $55.65	Professional		$41.00	$48.23	$55.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $44.52 / $110.86	Facility		$30.23	$44.52	$110.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $65.09 / $124.79	Professional		$44.79	$65.09	$124.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $110.86 / $119.25	Facility		$68.43	$110.86	$119.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $93.67 / $121.91	Professional		$51.08	$93.67	$121.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $71.79 / $76.11	Professional		$67.79	$71.79	$76.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $60.35 / $107.88	Professional		$44.79	$60.35	$107.88