Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $674.92 / $731.48	Professional		$54.67	$674.92	$731.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $188.02 / $738.62	Professional		$137.88	$188.02	$738.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $502.03 / $1,039.38	Facility		$170.98	$502.03	$1,039.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $98.80 / $502.03	Professional		$69.04	$98.80	$502.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $170.98 / $738.62	Facility		$82.49	$170.98	$738.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $170.98 / $738.62	Professional		$82.49	$170.98	$738.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $92.80 / $98.37	Professional		$87.98	$92.80	$98.37
United Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $87.20 / $197.14	Professional		$69.04	$87.20	$197.14