Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $48.23 / $48.23	Facility		$48.23	$48.23	$48.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $49.93 / $66.56	Professional		$48.23	$49.93	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $92.25 / $115.31	Professional		$28.61	$92.25	$115.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $60.53 / $108.28	Facility		$48.23	$60.53	$108.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $29.74 / $46.65	Professional		$22.70	$29.74	$46.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $65.56 / $116.24	Facility		$58.00	$65.56	$116.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $53.70 / $135.08	Professional		$50.81	$53.70	$135.08
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 $21.56 / $29.74 / $34.14	Professional		$21.56	$29.74	$34.14