Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $88.86 / $151.44	Facility		$71.31	$88.86	$151.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $43.30	Professional		$40.75	$40.75	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $42.00 / $64.48	Professional		$28.87	$42.00	$64.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $62.44 / $442.07	Professional		$53.07	$62.44	$442.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $44.08 / $68.87	Facility		$40.75	$44.08	$68.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $44.58 / $227.88	Professional		$40.53	$44.58	$227.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $44.08 / $64.00	Facility		$40.75	$44.08	$64.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $48.56 / $71.15	Professional		$40.75	$48.56	$71.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $47.80 / $47.80	Professional		$27.40	$47.80	$47.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $41.75 / $48.23	Professional		$40.53	$41.75	$48.23