Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $189.83 / $219.05	Professional		$166.40	$189.83	$219.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $258.38 / $304.69	Professional		$243.75	$258.38	$304.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $183.01 / $258.35	Professional		$155.56	$183.01	$258.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $194.84 / $299.49	Facility		$171.05	$194.84	$299.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $173.29 / $183.84	Professional		$162.93	$173.29	$183.84