Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $338.84	Professional		$275.42	$275.42	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $446.68	Facility		$74.13	$181.97	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $707.95	Professional		$169.82	$295.12	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,786.30 / $6,456.54	Facility		$851.14	$4,786.30	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $302.00	Professional		$141.25	$154.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $213.80	Facility		$141.25	$141.25	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $95.50	Professional		$79.43	$87.10	$95.50