Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $102.81 / $175.24	Facility		$82.51	$102.81	$175.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $136.41	Professional		$47.15	$48.92	$136.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.88 / $70.80	Professional		$52.07	$52.88	$70.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $123.87 / $187.50	Professional		$110.87	$123.87	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $52.07 / $79.68	Facility		$47.15	$52.07	$79.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $62.48 / $83.69	Professional		$58.94	$62.48	$83.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $64.98 / $196.07	Facility		$0.90	$64.98	$196.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $70.80 / $196.07	Professional		$61.24	$70.80	$196.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $74.80 / $74.80	Professional		$27.40	$74.80	$74.80
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $60.71 / $70.14	Professional		$58.94	$60.71	$70.14