Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $30.98 / $34.14	Professional		$19.79	$30.98	$34.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $25.72 / $50.91	Professional		$20.25	$25.72	$50.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $61.43 / $95.63	Professional		$24.51	$61.43	$95.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $38.36 / $75.09	Facility		$30.84	$38.36	$75.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $154.08 / $199.18	Professional		$58.58	$154.08	$199.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $68.87	Facility		$41.55	$41.55	$68.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $41.55 / $61.94	Professional		$38.36	$41.55	$61.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $141.44 / $184.13	Professional		$64.91	$141.44	$184.13