Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $28.18	Professional		$15.14	$22.91	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.90 / $5,248.07	Facility		$19.50	$30.90	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $154.88	Professional		$24.55	$38.90	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $32.36	Professional		$28.84	$28.84	$32.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Professional		$229.09	$257.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $64.57	Professional		$24.55	$38.02	$64.57