Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $74.20 / $115.85	Professional		$42.76	$74.20	$115.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $134.26 / $182.86	Professional		$53.25	$134.26	$182.86
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 $54.32 / $109.59 / $4,663.00	Facility		$54.32	$109.59	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $92.24 / $700.38	Professional		$71.94	$92.24	$700.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $156.24 / $175.18	Facility		$53.25	$156.24	$175.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $139.41 / $182.86	Professional		$53.25	$139.41	$182.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
United Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $106.97 / $6,608.00	Facility		$51.54	$106.97	$6,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $90.61 / $148.07	Professional		$70.64	$90.61	$148.07