Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $85.77 / $85.77	Facility		$85.77	$85.77	$85.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $88.80 / $100.91	Professional		$73.66	$88.80	$100.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $123.00 / $153.75	Professional		$50.89	$123.00	$153.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $106.02 / $192.59	Facility		$39.97	$106.02	$192.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $52.89 / $82.98	Professional		$40.36	$52.89	$82.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $116.62 / $206.74	Facility		$105.59	$116.62	$206.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $95.51 / $240.27	Professional		$93.20	$95.51	$240.27
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 $38.35 / $52.89 / $63.61	Professional		$38.35	$52.89	$63.61