Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $102.14 / $128.16	Facility		$57.62	$102.14	$128.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $29.18 / $39.04	Professional		$27.72	$29.18	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $69.54 / $105.62	Professional		$36.21	$69.54	$105.62
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 $32.59 / $66.48 / $601.79	Facility		$32.59	$66.48	$601.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $36.21 / $237.52	Professional		$24.40	$36.21	$237.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $63.23 / $105.62	Facility		$36.21	$63.23	$105.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $63.23 / $105.62	Professional		$36.21	$63.23	$105.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $41.30 / $41.30	Professional		$41.30	$41.30	$41.30
United Facility/Professional Facility Modifier Low / Median / High Price $310.68 / $314.60 / $460.26	Facility		$310.68	$314.60	$460.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $34.92 / $99.07	Professional		$24.85	$34.92	$99.07