Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $42.02 / $42.02	Facility		$42.02	$42.02	$42.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $45.47 / $50.76	Professional		$41.73	$45.47	$50.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $66.00 / $82.50	Professional		$24.93	$66.00	$82.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $56.91 / $94.38	Facility		$42.02	$56.91	$94.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $25.91 / $40.65	Professional		$19.78	$25.91	$40.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $57.13 / $101.28	Facility		$51.74	$57.13	$101.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $47.76 / $117.73	Professional		$46.02	$47.76	$117.73
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 $18.79 / $25.91 / $29.45	Professional		$18.79	$25.91	$29.45