Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $48.98	Professional		$26.92	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $95.50	Professional		$46.77	$58.88	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $56.23	Professional		$40.74	$46.77	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $97.72	Facility		$30.20	$43.65	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $128.82	Professional		$44.67	$66.07	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $123.03	Professional		$51.29	$69.18	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $162.18	Professional		$120.23	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $107.15	Professional		$43.65	$61.66	$107.15