Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $84.15 / $84.15	Facility		$84.15	$84.15	$84.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $87.12 / $101.57	Professional		$76.64	$87.12	$101.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $121.13 / $151.41	Professional		$49.92	$121.13	$151.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.15 / $105.64 / $188.96	Facility		$84.15	$105.64	$188.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $51.89 / $81.41	Professional		$39.60	$51.89	$81.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $114.41 / $202.82	Facility		$103.59	$114.41	$202.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $93.71 / $235.70	Professional		$88.66	$93.71	$235.70
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 $34.59 / $51.89 / $74.13	Professional		$34.59	$51.89	$74.13