Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $52.42 / $61.58	Professional		$46.38	$52.42	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $70.77 / $142.04	Professional		$50.86	$70.77	$142.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $113.96 / $172.50	Professional		$102.00	$113.96	$172.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $70.77 / $142.04	Facility		$52.42	$70.77	$142.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $368.87	Professional		$60.55	$60.55	$368.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $89.76 / $142.04	Facility		$70.77	$89.76	$142.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $89.76 / $142.04	Professional		$74.98	$89.76	$142.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $151.28 / $163.93	Professional		$25.00	$151.28	$163.93
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $76.90	Professional		$60.55	$60.55	$76.90