Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $54.95	Professional		$20.89	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $27.54	Professional		$15.49	$19.05	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $151.36	Professional		$15.49	$18.62	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $104.71	Facility		$30.20	$58.88	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $251.19	Professional		$53.70	$147.91	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $67.61	Professional		$27.54	$61.66	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Professional		$131.83	$151.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $123.03	Facility		$53.70	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $251.19	Professional		$53.70	$147.91	$251.19