Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $45.10 / $102.81	Professional		$44.84	$45.10	$102.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $92.91 / $140.49	Professional		$21.75	$92.91	$140.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $58.86 / $122.86	Facility		$44.84	$58.86	$122.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $398.68 / $652.94	Professional		$118.29	$398.68	$652.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.16 / $127.75 / $162.68	Facility		$66.16	$127.75	$162.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $127.75 / $162.68	Professional		$66.16	$127.75	$162.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Professional		$80.59	$80.59	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $384.08 / $652.94	Professional		$118.29	$384.08	$652.94