Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Facility		$66.00	$66.00	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $73.04 / $88.04	Professional		$66.00	$73.04	$88.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $121.88 / $152.34	Professional		$39.15	$121.88	$152.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $97.82 / $148.18	Facility		$66.00	$97.82	$148.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $40.70 / $63.85	Professional		$31.06	$40.70	$63.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.25 / $89.74 / $159.08	Facility		$81.25	$89.74	$159.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $81.25 / $184.88	Professional		$72.28	$81.25	$184.88
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 $27.13 / $40.70 / $54.26	Professional		$27.13	$40.70	$54.26