Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $47.51	Facility		$47.51	$47.51	$47.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $48.44 / $57.34	Professional		$44.52	$48.44	$57.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $74.25 / $92.81	Professional		$28.19	$74.25	$92.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $59.64 / $106.68	Facility		$47.51	$59.64	$106.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $29.30 / $45.96	Professional		$22.36	$29.30	$45.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $64.59 / $114.50	Facility		$58.49	$64.59	$114.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $52.91 / $133.07	Professional		$50.06	$52.91	$133.07
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 $19.53 / $29.30 / $32.01	Professional		$19.53	$29.30	$32.01