Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $56.77 / $56.77	Facility		$56.77	$56.77	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $58.78 / $66.79	Professional		$51.30	$58.78	$66.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $85.50 / $106.88	Professional		$33.68	$85.50	$106.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $77.84 / $127.47	Facility		$56.77	$77.84	$127.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $35.01 / $54.92	Professional		$26.72	$35.01	$54.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $77.19 / $136.83	Facility		$69.89	$77.19	$136.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $67.94 / $159.01	Professional		$62.17	$67.94	$159.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $40.00	Professional		$35.00	$35.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $35.01 / $42.69	Professional		$25.38	$35.01	$42.69