Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $74.13	Professional		$30.90	$61.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $102.33 / $128.82	Professional		$36.31	$102.33	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $138.04	Facility		$60.26	$81.28	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $58.88	Professional		$25.12	$37.15	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Professional		$19.95	$19.95	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $50.12	Professional		$25.12	$37.15	$50.12