Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $172.24 / $293.57	Facility		$138.22	$172.24	$293.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $83.93	Professional		$78.98	$78.98	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $82.13 / $102.66	Professional		$8.32	$82.13	$102.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.01 / $145.65	Professional		$20.89	$26.01	$145.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $88.47 / $133.49	Facility		$78.98	$88.47	$133.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $101.70 / $131.11	Professional		$98.74	$101.70	$131.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $8.32	Facility		$0.90	$0.90	$8.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $149.63	Professional		$8.32	$8.32	$149.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $159.06 / $172.13	Professional		$98.39	$159.06	$172.13
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $100.71 / $117.50	Professional		$98.74	$100.71	$117.50