Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $63.72 / $64.09	Professional		$63.72	$63.72	$64.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $87.75 / $109.69	Professional		$85.29	$87.75	$109.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $109.49 / $132.11	Professional		$94.89	$109.49	$132.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $86.46 / $137.88	Facility		$63.72	$86.46	$137.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $110.82 / $382.45	Professional		$59.60	$110.82	$382.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $100.13 / $153.19	Facility		$78.62	$100.13	$153.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $86.46 / $137.88	Professional		$78.62	$86.46	$137.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $80.88 / $90.39	Professional		$75.11	$80.88	$90.39
United Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $107.79 / $153.26	Professional		$57.12	$107.79	$153.26