Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $79.63	Facility		$79.63	$79.63	$79.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $82.13 / $95.18	Professional		$79.63	$82.13	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $114.00 / $142.50	Professional		$47.24	$114.00	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $108.16 / $178.80	Facility		$79.63	$108.16	$178.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $49.10 / $77.04	Professional		$37.47	$49.10	$77.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $108.26 / $191.92	Facility		$97.00	$108.26	$191.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $88.67 / $223.05	Professional		$83.90	$88.67	$223.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $49.10 / $65.47	Professional		$35.60	$49.10	$65.47