Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $62.36 / $62.36	Facility		$62.36	$62.36	$62.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $67.28 / $74.26	Professional		$57.45	$67.28	$74.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $96.00 / $120.00	Professional		$37.00	$96.00	$120.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $83.87 / $140.04	Facility		$62.36	$83.87	$140.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $38.45 / $60.33	Professional		$29.35	$38.45	$60.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $84.79 / $150.31	Facility		$76.77	$84.79	$150.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $70.40 / $174.68	Professional		$68.30	$70.40	$174.68
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 $25.64 / $38.45 / $60.33	Professional		$25.64	$38.45	$60.33