Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $53.70	Professional		$28.18	$41.69	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $45.71	Professional		$15.49	$19.05	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $95.50 / $151.36	Professional		$16.22	$95.50	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $331.13	Facility		$40.74	$72.44	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $151.36 / $281.84	Professional		$53.70	$151.36	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $72.44	Professional		$45.71	$61.66	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $407.38	Professional		$302.00	$338.84	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $436.52	Facility		$190.55	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $251.19	Professional		$53.70	$147.91	$251.19