Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $261.00 / $437.09	Professional		$208.80	$261.00	$437.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $192.24 / $287.86	Facility		$131.66	$192.24	$287.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $1,048.00 / $1,048.00	Professional		$170.00	$1,048.00	$1,048.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Facility		$170.00	$170.00	$170.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $180.97 / $202.01	Professional		$156.00	$180.97	$202.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $137.00 / $255.00	Professional		$4.00	$137.00	$255.00