Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $153.55 / $153.55	Facility		$153.55	$153.55	$153.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $147.47 / $171.93	Professional		$122.33	$147.47	$171.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $204.00 / $255.00	Professional		$84.51	$204.00	$255.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $191.94 / $344.78	Facility		$153.55	$191.94	$344.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $94.69 / $148.54	Professional		$68.77	$94.69	$148.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $208.78 / $370.11	Facility		$172.00	$208.78	$370.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $170.98 / $430.10	Professional		$150.07	$170.98	$430.10
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 $63.12 / $94.69 / $111.78	Professional		$63.12	$94.69	$111.78