Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $354.81	Facility		$100.00	$234.42	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $102.33	Professional		$66.07	$77.62	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $61.66	Professional		$48.98	$61.66	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $165.96	Facility		$50.12	$87.10	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $114.82	Professional		$42.66	$64.57	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $69.18	Professional		$64.57	$64.57	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.76 / $10.00	Professional		$6.92	$7.76	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $114.82	Professional		$44.67	$64.57	$114.82