Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $75.12 / $86.13	Professional		$74.73	$75.12	$86.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $132.09 / $196.12	Professional		$97.67	$132.09	$196.12
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 $71.14 / $97.67 / $5,244.00	Facility		$71.14	$97.67	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $149.35 / $515.54	Professional		$87.78	$149.35	$515.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $132.09 / $435.58	Facility		$97.67	$132.09	$435.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $108.05 / $196.12	Professional		$97.67	$108.05	$196.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $111.70 / $111.70	Professional		$111.70	$111.70	$111.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $127.68 / $217.06	Professional		$87.78	$127.68	$217.06