Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.30 / $312.52 / $392.13	Facility		$176.30	$312.52	$392.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $89.04 / $92.72	Professional		$89.04	$89.04	$92.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $129.66 / $403.46	Professional		$90.23	$129.66	$403.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $112.80 / $177.00	Professional		$85.94	$112.80	$177.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.97 / $186.79 / $344.05	Facility		$89.97	$186.79	$344.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $161.07 / $369.46	Professional		$109.53	$161.07	$369.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $179.03 / $222.49	Facility		$90.23	$179.03	$222.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $196.38 / $223.32	Professional		$117.93	$196.38	$223.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $1,496.20 / $1,587.26	Professional		$1,407.04	$1,496.20	$1,587.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $134.22 / $291.30	Professional		$100.04	$134.22	$291.30