Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $65.36 / $65.36	Facility		$65.36	$65.36	$65.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $67.66 / $76.89	Professional		$58.82	$67.66	$76.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $97.13 / $121.41	Professional		$38.71	$97.13	$121.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $88.78 / $146.77	Facility		$65.36	$88.78	$146.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $40.31 / $63.23	Professional		$30.76	$40.31	$63.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $88.86 / $157.52	Facility		$80.45	$88.86	$157.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $75.47 / $183.10	Professional		$71.59	$75.47	$183.10
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 $29.22 / $40.31 / $49.14	Professional		$29.22	$40.31	$49.14