Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $38.02 / $41.50	Professional		$30.62	$38.02	$41.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $54.85 / $66.56	Professional		$49.74	$54.85	$66.56
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 $37.65 / $63.65 / $195.30	Facility		$37.65	$63.65	$195.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $52.60 / $262.88	Professional		$41.21	$52.60	$262.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $66.56 / $222.64	Facility		$49.74	$66.56	$222.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $54.85 / $80.42	Professional		$49.74	$54.85	$80.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $52.60 / $127.62	Professional		$40.39	$52.60	$127.62