Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $467.74	Facility		$131.83	$275.42	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $131.83	Professional		$44.67	$97.72	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $138.04	Professional		$77.62	$107.15	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $741.31	Professional		$245.47	$288.40	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $218.78	Facility		$85.11	$117.49	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $741.31	Professional		$89.13	$147.91	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $218.78	Professional		$117.49	$154.88	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $257.04	Professional		$112.20	$190.55	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $213.80	Professional		$158.49	$177.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $245.47	Professional		$89.13	$134.90	$245.47