Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $87.01 / $87.01	Facility		$87.01	$87.01	$87.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $90.09 / $102.37	Professional		$80.33	$90.09	$102.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $133.88 / $167.34	Professional		$51.62	$133.88	$167.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $109.23 / $195.38	Facility		$87.01	$109.23	$195.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $53.66 / $84.18	Professional		$40.95	$53.66	$84.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $118.31 / $209.72	Facility		$107.11	$118.31	$209.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $96.90 / $243.73	Professional		$91.67	$96.90	$243.73
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 $38.90 / $53.66 / $80.83	Professional		$38.90	$53.66	$80.83