Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $111.48 / $139.87	Facility		$62.88	$111.48	$139.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $31.76 / $32.04	Professional		$31.76	$31.76	$32.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $208.61 / $229.39	Professional		$39.65	$208.61	$229.39
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 $48.91 / $197.48 / $264.62	Facility		$48.91	$197.48	$264.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $173.04 / $464.95	Professional		$143.26	$173.04	$464.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $208.61 / $255.08	Facility		$39.65	$208.61	$255.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $208.61 / $255.08	Professional		$39.65	$208.61	$255.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $293.06 / $310.89	Professional		$275.52	$293.06	$310.89
United Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $173.04 / $308.83	Professional		$150.47	$173.04	$308.83