Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $60.26	Professional		$25.70	$57.54	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $104.71	Professional		$30.90	$83.18	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $70.79 / $125.89	Facility		$17.38	$70.79	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $56.23	Professional		$23.99	$34.67	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $47.86	Professional		$25.12	$34.67	$47.86