Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $18.27 / $50.75	Facility		$14.46	$18.27	$50.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $14.52 / $15.67	Professional		$11.65	$14.52	$15.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $20.99 / $25.55	Professional		$18.01	$20.99	$25.55
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 $14.46 / $23.08 / $71.14	Facility		$14.46	$23.08	$71.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $19.92 / $100.43	Professional		$15.13	$19.92	$100.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $23.08 / $29.09	Facility		$18.01	$23.08	$29.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $23.08 / $29.09	Professional		$18.01	$23.08	$29.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $19.62 / $33.63	Professional		$15.13	$19.62	$33.63