Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $124.61 / $142.47	Facility		$56.83	$124.61	$142.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $59.80 / $65.84	Professional		$47.32	$59.80	$65.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $82.07 / $149.53	Professional		$74.43	$82.07	$149.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $77.58 / $292.17	Facility		$59.29	$77.58	$292.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $82.62 / $334.80	Professional		$64.64	$82.62	$334.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $82.07 / $333.09	Facility		$74.43	$82.07	$333.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $82.07 / $333.09	Professional		$74.43	$82.07	$333.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $76.31 / $139.72	Professional		$64.64	$76.31	$139.72