Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $177.93 / $204.62	Facility		$177.93	$177.93	$204.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $76.83 / $76.83	Professional		$76.83	$76.83	$76.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $105.94 / $686.58	Professional		$84.75	$105.94	$686.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $165.52 / $250.54	Professional		$148.15	$165.52	$250.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $96.83 / $132.57	Facility		$81.77	$96.83	$132.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $117.56	Professional		$92.57	$92.57	$117.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $113.55 / $113.55	Facility		$0.90	$113.55	$113.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $113.55 / $686.58	Professional		$95.33	$113.55	$686.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $150.50 / $190.20	Professional		$131.60	$150.50	$190.20
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $95.35	Professional		$92.57	$92.57	$95.35