Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $86.84 / $112.99	Professional		$64.87	$86.84	$112.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $61.50 / $125.76	Professional		$27.00	$61.50	$125.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $75.51 / $84.03	Professional		$65.98	$75.51	$84.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $116.05 / $457.19	Facility		$86.84	$116.05	$457.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $150.80 / $603.54	Professional		$97.97	$150.80	$603.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $145.62 / $208.42	Facility		$114.35	$145.62	$208.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $125.76 / $175.22	Professional		$114.35	$125.76	$175.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $152.69 / $165.11	Professional		$86.40	$152.69	$165.11
United Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $147.91 / $272.77	Professional		$96.05	$147.91	$272.77