Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $67.61	Professional		$44.67	$58.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $109.65	Professional		$87.10	$93.33	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $117.49	Professional		$69.18	$93.33	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $4,897.79	Facility		$60.26	$83.18	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $478.63	Professional		$47.86	$79.43	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $120.23	Professional		$79.43	$89.13	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $549.54	Professional		$407.38	$457.09	$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 $46.77 / $67.61 / $125.89	Professional		$46.77	$67.61	$125.89