Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $49.52	Facility		$49.52	$49.52	$49.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $51.27 / $65.05	Professional		$49.52	$51.27	$65.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $90.00 / $112.50	Professional		$29.38	$90.00	$112.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $62.17 / $111.21	Facility		$49.52	$62.17	$111.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $30.54 / $47.91	Professional		$23.30	$30.54	$47.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $67.33 / $119.36	Facility		$60.96	$67.33	$119.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $55.15 / $138.71	Professional		$52.18	$55.15	$138.71
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 $20.36 / $30.54 / $40.04	Professional		$20.36	$30.54	$40.04