Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $57.54	Professional		$46.77	$48.98	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $331.13	Facility		$74.13	$186.21	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $354.81 / $354.81	Professional		$74.13	$354.81	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $81.28	Professional		$74.13	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61