Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,463.51 / $2,463.51 / $3,079.39	Professional		$2,463.51	$2,463.51	$3,079.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,744.86 / $2,403.16 / $11,604.80	Facility		$1,744.86	$2,403.16	$11,604.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,864.00 / $5,178.67 / $5,178.67	Professional		$1,864.00	$5,178.67	$5,178.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,864.00 / $1,864.00 / $1,864.00	Facility		$1,864.00	$1,864.00	$1,864.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,706.00 / $2,242.66 / $2,305.77	Professional		$1,706.00	$2,242.66	$2,305.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,591.10 / $2,526.60	Professional		$6.00	$1,591.10	$2,526.60