Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $64.95 / $620.90	Facility		$52.64	$64.95	$620.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $31.96 / $59.90	Professional		$0.35	$31.96	$59.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $113.80 / $150.00	Professional		$99.10	$113.80	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $44.63 / $59.90	Facility		$0.40	$44.63	$59.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $67.90	Professional		$37.60	$37.60	$67.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.63 / $59.90	Facility		$37.85	$44.63	$59.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $44.63 / $68.58	Professional		$0.86	$44.63	$68.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $133.47 / $141.68	Professional		$124.75	$133.47	$141.68
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $41.36	Professional		$37.60	$37.60	$41.36