Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $191.00 / $236.84	Professional		$84.60	$191.00	$236.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $153.52 / $321.48	Professional		$68.73	$153.52	$321.48
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 $85.71 / $201.31 / $367.10	Facility		$85.71	$201.31	$367.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $191.96 / $542.51	Professional		$103.40	$191.96	$542.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $142.21 / $209.15	Facility		$101.34	$142.21	$209.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $142.21 / $227.67	Professional		$104.07	$142.21	$227.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $229.20 / $393.80	Professional		$229.20	$229.20	$393.80
United Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $150.40 / $255.68	Professional		$103.40	$150.40	$255.68