Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $15.11	Professional		$14.66	$14.66	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $21.07 / $24.84	Professional		$19.88	$21.07	$24.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.92 / $38.20	Professional		$32.22	$37.92	$38.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $24.78	Facility		$14.66	$14.66	$24.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $19.85	Professional		$15.00	$15.00	$19.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $46.87 / $49.77	Professional		$43.71	$46.87	$49.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $15.00 / $19.85	Professional		$1.00	$15.00	$19.85