Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $27.87 / $27.87	Facility		$22.37	$27.87	$27.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $13.58	Professional		$12.78	$12.78	$13.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $13.58 / $13.58	Professional		$4.05	$13.58	$13.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.96 / $6.38	Professional		$4.78	$4.96	$6.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $12.78 / $21.09	Facility		$4.84	$12.78	$21.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.17 / $55.93	Professional		$1.92	$2.17	$55.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.84 / $7.67	Facility		$4.05	$4.84	$7.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.68 / $7.67	Professional		$4.08	$5.68	$7.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.96 / $3.29	Professional		$1.80	$1.96	$3.29