Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $30.27 / $30.27	Facility		$24.54	$30.27	$30.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.55 / $14.90	Professional		$14.02	$14.55	$14.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $64.50 / $81.92	Professional		$62.05	$64.50	$81.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $104.23 / $122.21	Professional		$94.76	$104.23	$122.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $25.10 / $87.00	Facility		$14.02	$25.10	$87.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $87.00	Professional		$62.05	$62.05	$87.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $87.00 / $96.73	Professional		$50.99	$87.00	$96.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $86.61 / $91.93	Professional		$81.04	$86.61	$91.93
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $68.26	Professional		$62.05	$62.05	$68.26