Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $204.17 / $316.23	Facility		$67.61	$204.17	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $75.86	Professional		$47.86	$67.61	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $56.23	Professional		$44.67	$54.95	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $138.04 / $181.97	Professional		$51.29	$138.04	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $331.13	Facility		$75.86	$131.83	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $436.52	Professional		$83.18	$151.36	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $223.87	Professional		$83.18	$91.20	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $102.33	Professional		$83.18	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,659.59	Professional		$1,230.27	$1,412.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $309.03 / $407.38	Facility		$91.20	$309.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $263.03	Professional		$74.13	$138.04	$263.03