Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $55.49 / $55.49	Facility		$55.49	$55.49	$55.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $57.45 / $65.28	Professional		$50.90	$57.45	$65.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $84.75 / $105.94	Professional		$32.92	$84.75	$105.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $75.36 / $124.58	Facility		$55.49	$75.36	$124.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $34.21 / $53.67	Professional		$26.11	$34.21	$53.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $75.44 / $133.72	Facility		$68.30	$75.44	$133.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $65.48 / $155.43	Professional		$60.76	$65.48	$155.43
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 $22.81 / $34.21 / $51.54	Professional		$22.81	$34.21	$51.54