Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.24 / $473.78 / $1,075.76	Facility		$454.24	$473.78	$1,075.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $1,651.71 / $1,651.71	Professional		$454.24	$1,651.71	$1,651.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $454.24 / $454.24 / $473.78	Facility		$454.24	$454.24	$473.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $454.24 / $473.78	Professional		$454.24	$454.24	$473.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00