Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $60.93 / $60.93	Facility		$60.93	$60.93	$60.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $63.47 / $74.68	Professional		$60.93	$63.47	$74.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $102.75 / $128.44	Professional		$36.14	$102.75	$128.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $81.45 / $136.80	Facility		$60.93	$81.45	$136.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $37.57 / $58.94	Professional		$28.67	$37.57	$58.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $82.83 / $146.84	Facility		$75.00	$82.83	$146.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $67.84 / $170.67	Professional		$65.06	$67.84	$170.67
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 $27.24 / $37.57 / $46.30	Professional		$27.24	$37.57	$46.30