Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $66.07	Professional		$28.18	$57.54	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $107.15	Professional		$33.88	$85.11	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $128.82	Facility		$56.23	$77.62	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $54.95	Professional		$23.44	$34.67	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $39.81	Professional		$34.67	$34.67	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $46.77	Professional		$23.44	$34.67	$46.77