Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.83 / $71.83 / $71.83	Facility		$71.83	$71.83	$71.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $74.37 / $92.26	Professional		$71.83	$74.37	$92.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $123.00 / $153.75	Professional		$42.61	$123.00	$153.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.83 / $103.36 / $161.29	Facility		$71.83	$103.36	$161.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $44.29 / $69.48	Professional		$33.79	$44.29	$69.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $97.66 / $173.12	Facility		$88.42	$97.66	$173.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $88.42 / $201.19	Professional		$78.67	$88.42	$201.19
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 $29.53 / $44.29 / $48.02	Professional		$29.53	$44.29	$48.02