Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $62.97 / $79.01	Facility		$35.52	$62.97	$79.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $18.04 / $21.01	Professional		$15.63	$18.04	$21.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $27.66 / $30.46	Professional		$22.13	$27.66	$30.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $28.80 / $34.75	Professional		$24.96	$28.80	$34.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $30.32 / $89.29	Facility		$17.94	$30.32	$89.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $29.18 / $124.17	Professional		$22.41	$29.18	$124.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $30.46 / $40.98	Facility		$22.71	$30.46	$40.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $30.46 / $40.98	Professional		$22.71	$30.46	$40.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $692.70 / $737.28 / $782.20	Professional		$692.70	$737.28	$782.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $27.79 / $45.09	Professional		$22.41	$27.79	$45.09