Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $104.36 / $104.36	Facility		$104.36	$104.36	$104.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $106.41 / $125.98	Professional		$89.63	$106.41	$125.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $149.63 / $187.03	Professional		$61.92	$149.63	$187.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $131.01 / $234.35	Facility		$104.36	$131.01	$234.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $64.36 / $100.96	Professional		$49.11	$64.36	$100.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $141.90 / $251.55	Facility		$126.00	$141.90	$251.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $116.22 / $292.35	Professional		$109.96	$116.22	$292.35
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 $42.90 / $64.36 / $77.40	Professional		$42.90	$64.36	$77.40