Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $71.20 / $71.20	Facility		$71.20	$71.20	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $73.73 / $96.56	Professional		$68.59	$73.73	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $133.50 / $166.88	Professional		$42.25	$133.50	$166.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $89.39 / $159.88	Facility		$71.20	$89.39	$159.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $43.91 / $68.89	Professional		$33.51	$43.91	$68.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $96.82 / $171.64	Facility		$87.66	$96.82	$171.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.30 / $199.46	Professional		$75.03	$79.30	$199.46
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 $31.84 / $43.91 / $53.55	Professional		$31.84	$43.91	$53.55