Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.21 / $114.21 / $114.21	Facility		$114.21	$114.21	$114.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $116.43 / $137.85	Professional		$97.53	$116.43	$137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $163.50 / $204.38	Professional		$67.76	$163.50	$204.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.19 / $141.16 / $256.44	Facility		$56.19	$141.16	$256.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $70.42 / $110.49	Professional		$53.74	$70.42	$110.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $155.28 / $275.26	Facility		$139.00	$155.28	$275.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $127.18 / $319.91	Professional		$120.33	$127.18	$319.91
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 $51.06 / $70.42 / $84.70	Professional		$51.06	$70.42	$84.70