Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $115.00 / $142.60	Professional		$47.00	$115.00	$142.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $85.35 / $178.75	Professional		$38.22	$85.35	$178.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $121.21 / $221.03	Facility		$47.66	$121.21	$221.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $106.73 / $301.64	Professional		$57.20	$106.73	$301.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $79.06 / $116.29	Facility		$56.35	$79.06	$116.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $79.06 / $126.59	Professional		$57.86	$79.06	$126.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $236.20	Professional		$138.00	$138.00	$236.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $85.00 / $144.50	Professional		$54.00	$85.00	$144.50