Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $71.70 / $71.70	Facility		$71.70	$71.70	$71.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $74.17 / $98.27	Professional		$61.59	$74.17	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $102.75 / $128.44	Professional		$42.55	$102.75	$128.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $107.59 / $161.04	Facility		$71.70	$107.59	$161.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $44.22 / $69.37	Professional		$33.75	$44.22	$69.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $97.50 / $172.85	Facility		$88.28	$97.50	$172.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $88.28 / $200.86	Professional		$78.54	$88.28	$200.86
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 $32.06 / $44.22 / $52.60	Professional		$32.06	$44.22	$52.60