Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $57.93	Facility		$57.93	$57.93	$57.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $57.93 / $68.15	Professional		$49.41	$57.93	$68.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $83.25 / $104.06	Professional		$30.85	$83.25	$104.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $71.59 / $130.07	Facility		$20.70	$71.59	$130.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $35.72 / $56.04	Professional		$25.11	$35.72	$56.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $78.76 / $139.62	Facility		$70.00	$78.76	$139.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $64.51 / $162.28	Professional		$62.02	$64.51	$162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $35.72 / $37.54	Professional		$25.11	$35.72	$37.54