Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $48.14 / $48.14	Facility		$48.14	$48.14	$48.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $49.84 / $66.45	Professional		$47.75	$49.84	$66.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $91.88 / $114.84	Professional		$28.56	$91.88	$114.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $60.44 / $108.10	Facility		$48.14	$60.44	$108.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $29.69 / $46.57	Professional		$22.66	$29.69	$46.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $65.45 / $116.04	Facility		$59.26	$65.45	$116.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $53.60 / $134.86	Professional		$50.72	$53.60	$134.86
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 $21.52 / $29.69 / $31.81	Professional		$21.52	$29.69	$31.81