Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $7.94 / $16.98	Facility		$2.00	$7.94	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.00 / $2.00	Professional		$1.41	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $151.36	Professional		$24.55	$28.18	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $5.25 / $10.00	Facility		$1.78	$5.25	$10.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $21.38	Professional		$16.22	$18.20	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00