Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $97.00 / $97.00	Facility		$66.84	$97.00	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.00 / $97.00	Professional		$80.00	$97.00	$97.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $94.60 / $97.44	Professional		$94.60	$94.60	$97.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $142.94 / $152.91	Professional		$139.00	$142.94	$152.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $164.90	Facility		$97.00	$97.00	$164.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $137.77 / $146.13	Professional		$129.57	$137.77	$146.13