Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $50.22 / $50.22	Facility		$50.22	$50.22	$50.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $50.12 / $59.25	Professional		$42.14	$50.12	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $69.38 / $86.72	Professional		$25.65	$69.38	$86.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $69.58 / $112.78	Facility		$50.22	$69.58	$112.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $30.97 / $48.59	Professional		$20.88	$30.97	$48.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $68.28 / $121.04	Facility		$58.00	$68.28	$121.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $60.74 / $140.66	Professional		$55.00	$60.74	$140.66
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 $20.88 / $30.97 / $35.90	Professional		$20.88	$30.97	$35.90