Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $108.18 / $135.72	Facility		$61.02	$108.18	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $136.22 / $182.54	Professional		$30.82	$136.22	$182.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $239.89 / $293.33	Professional		$38.47	$239.89	$293.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $196.85 / $296.60	Facility		$31.44	$196.85	$296.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $225.57 / $1,157.43	Professional		$173.22	$225.57	$1,157.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $239.89 / $293.33	Facility		$38.47	$239.89	$293.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $239.89 / $263.79	Professional		$38.47	$239.89	$263.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $46.50	Professional		$46.50	$46.50	$46.50
United Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $151.31 / $217.94	Facility		$147.11	$151.31	$217.94
United Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $214.07 / $363.76	Professional		$173.22	$214.07	$363.76