Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $150.55 / $968.51	Facility		$25.93	$150.55	$968.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $79.23 / $1,256.00	Professional		$78.59	$79.23	$1,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $138.75 / $138.75	Professional		$111.00	$138.75	$138.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $234.42 / $239.37	Professional		$150.00	$234.42	$239.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $141.68 / $224.20	Facility		$57.26	$141.68	$224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $83.56 / $244.27	Professional		$57.27	$83.56	$244.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $158.96 / $224.20	Facility		$121.57	$158.96	$224.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $166.10 / $243.73	Professional		$121.57	$166.10	$243.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.42 / $305.73 / $324.37	Professional		$287.42	$305.73	$324.37
United Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $57.35 / $101.97	Professional		$57.27	$57.35	$101.97