Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $132.54 / $166.30	Facility		$74.76	$132.54	$166.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $37.76 / $43.50	Professional		$34.57	$37.76	$43.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $93.57 / $140.88	Professional		$46.97	$93.57	$140.88
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 $37.76 / $67.65 / $184.67	Facility		$37.76	$67.65	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $46.97 / $280.19	Professional		$32.50	$46.97	$280.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $85.09 / $135.41	Facility		$46.97	$85.09	$135.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $85.09 / $135.41	Professional		$46.97	$85.09	$135.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $43.00 / $97.33	Professional		$35.08	$43.00	$97.33