Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $80.67 / $87.17	Professional		$61.50	$80.67	$87.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $119.56 / $143.19	Professional		$108.04	$119.56	$143.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $123.38 / $165.42	Professional		$100.50	$123.38	$165.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $145.00 / $872.62	Facility		$82.64	$145.00	$872.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $105.67 / $522.04	Professional		$83.06	$105.67	$522.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $143.19 / $481.88	Facility		$108.04	$143.19	$481.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $119.56 / $174.61	Professional		$108.04	$119.56	$174.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $129.69	Professional		$129.69	$129.69	$129.69
United Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $103.21 / $169.47	Professional		$80.81	$103.21	$169.47