Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $69.16 / $69.16	Facility		$69.16	$69.16	$69.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $71.59 / $87.19	Professional		$63.27	$71.59	$87.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $105.38 / $131.72	Professional		$41.03	$105.38	$131.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $90.68 / $155.27	Facility		$69.16	$90.68	$155.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $42.65 / $66.90	Professional		$32.54	$42.65	$66.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $94.03 / $166.69	Facility		$85.14	$94.03	$166.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $77.00 / $193.71	Professional		$75.75	$77.00	$193.71
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 $28.43 / $42.65 / $51.99	Professional		$28.43	$42.65	$51.99