Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Facility		$67.83	$67.83	$67.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $65.33 / $70.22	Professional		$51.82	$65.33	$70.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $97.13 / $121.41	Professional		$30.18	$97.13	$121.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $82.94 / $152.30	Facility		$61.41	$82.94	$152.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $41.83 / $65.62	Professional		$27.88	$41.83	$65.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $92.22 / $163.49	Facility		$70.00	$92.22	$163.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $75.53 / $190.00	Professional		$53.60	$75.53	$190.00
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 $27.88 / $40.52 / $41.83	Professional		$27.88	$40.52	$41.83