Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Professional		$30.54	$30.54	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $144.13	Professional		$23.03	$27.09	$144.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $51.61	Facility		$30.54	$30.54	$51.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $116.97 / $124.13	Professional		$109.81	$116.97	$124.13