Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $90.00 / $630.00	Facility		$77.00	$90.00	$630.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $258.39 / $258.39	Professional		$63.00	$258.39	$258.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $77.00 / $144.16	Professional		$49.78	$77.00	$144.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $83.50 / $124.50	Professional		$62.70	$83.50	$124.50