Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $39.38 / $52.13	Professional		$38.04	$39.38	$52.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $64.88 / $81.09	Professional		$22.57	$64.88	$81.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $61.22 / $85.41	Facility		$38.04	$61.22	$85.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.46 / $36.79	Professional		$17.89	$23.46	$36.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $51.72 / $91.69	Facility		$46.82	$51.72	$91.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $46.82 / $106.56	Professional		$41.67	$46.82	$106.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $25.00	Professional		$20.00	$20.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.46 / $25.13	Professional		$17.01	$23.46	$25.13