Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $72.69 / $72.69	Professional		$72.69	$72.69	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.43 / $121.80	Professional		$54.95	$60.43	$121.80
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 $54.95 / $90.75 / $153.99	Facility		$54.95	$90.75	$153.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $85.48 / $315.67	Professional		$47.27	$85.48	$315.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.98 / $153.99	Facility		$54.95	$69.98	$153.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.98 / $153.99	Professional		$54.95	$69.98	$153.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $96.27 / $107.94	Professional		$90.41	$96.27	$107.94
United Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $85.48 / $122.82	Professional		$47.27	$85.48	$122.82