Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $74.05 / $74.05	Facility		$74.05	$74.05	$74.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $76.67 / $101.47	Professional		$64.47	$76.67	$101.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $107.63 / $134.53	Professional		$43.93	$107.63	$134.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $111.08 / $166.27	Facility		$74.05	$111.08	$166.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $45.66 / $71.64	Professional		$34.85	$45.66	$71.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $100.68 / $178.48	Facility		$91.16	$100.68	$178.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $91.16 / $207.41	Professional		$81.09	$91.16	$207.41
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 $33.11 / $45.66 / $55.67	Professional		$33.11	$45.66	$55.67