Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.61 / $198.00	Professional		$14.79	$15.61	$198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.43 / $39.29	Professional		$18.00	$21.43	$39.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $22.91 / $40.24	Professional		$21.27	$22.91	$40.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $25.00 / $1,607.00	Facility		$14.79	$25.00	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $46.29 / $102.53	Professional		$22.84	$46.29	$102.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $23.58 / $35.11	Facility		$19.57	$23.58	$35.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $23.58 / $58.36	Professional		$19.57	$23.58	$58.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $35.29 / $56.47	Professional		$19.72	$35.29	$56.47