Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $28.84	Professional		$10.00	$14.13	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $25.12	Professional		$19.95	$20.89	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $38.02	Professional		$32.36	$34.67	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $24.55	Facility		$14.79	$14.79	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Professional		$15.14	$15.14	$19.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $54.95	Professional		$40.74	$46.77	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $15.14 / $22.91	Professional		$0.85	$15.14	$22.91