Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $73.52 / $73.52	Facility		$73.52	$73.52	$73.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $76.11 / $91.83	Professional		$72.23	$76.11	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $120.38 / $150.47	Professional		$43.62	$120.38	$150.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $102.91 / $165.08	Facility		$73.52	$102.91	$165.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $45.34 / $71.12	Professional		$34.60	$45.34	$71.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $99.96 / $177.20	Facility		$90.50	$99.96	$177.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $81.86 / $205.92	Professional		$80.05	$81.86	$205.92
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 $32.86 / $45.34 / $54.75	Professional		$32.86	$45.34	$54.75