Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $99.95 / $112.92	Professional		$60.93	$99.95	$112.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $151.31 / $253.06	Professional		$27.60	$151.31	$253.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.21 / $30.49	Professional		$17.32	$20.21	$30.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $95.50 / $137.59	Facility		$19.25	$95.50	$137.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $228.17 / $659.14	Professional		$122.83	$228.17	$659.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $137.59 / $260.55	Facility		$81.52	$137.59	$260.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $137.59 / $203.63	Professional		$27.60	$137.59	$203.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $31.60	Professional		$31.60	$31.60	$31.60
United Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $185.55 / $271.35	Professional		$114.72	$185.55	$271.35