Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $86.51 / $86.51	Facility		$86.51	$86.51	$86.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $89.57 / $105.64	Professional		$86.51	$89.57	$105.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $146.25 / $182.81	Professional		$51.33	$146.25	$182.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $109.15 / $194.26	Facility		$86.51	$109.15	$194.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $53.35 / $83.70	Professional		$40.71	$53.35	$83.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $117.63 / $208.53	Facility		$106.51	$117.63	$208.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $96.34 / $242.33	Professional		$91.16	$96.34	$242.33
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 $38.68 / $53.35 / $67.61	Professional		$38.68	$53.35	$67.61