Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $39.81	Professional		$31.62	$33.11	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $89.13	Facility		$50.12	$85.11	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $104.71	Professional		$50.12	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $54.95	Professional		$50.12	$54.95	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86