Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.35 / $244.16 / $392.19	Professional		$238.35	$244.16	$392.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $381.07 / $675.37	Facility		$232.20	$381.07	$675.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $298.27 / $818.74	Professional		$229.97	$298.27	$818.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $308.87 / $422.72	Facility		$227.33	$308.87	$422.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.97 / $412.41 / $538.13	Professional		$240.97	$412.41	$538.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $502.96 / $567.34	Professional		$280.27	$502.96	$567.34
United Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $267.60 / $403.49	Professional		$209.06	$267.60	$403.49