Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $77.62	Professional		$52.48	$64.57	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $169.82	Professional		$85.11	$93.33	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $151.36	Professional		$79.43	$83.18	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $6,606.93	Facility		$64.57	$100.00	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $208.93	Professional		$64.57	$91.20	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $131.83	Professional		$85.11	$91.20	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $549.54	Professional		$416.87	$467.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,344.23 / $7,244.36	Facility		$81.28	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $169.82	Professional		$63.10	$85.11	$169.82