Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $489.78	Professional		$190.55	$257.04	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $371.54	Facility		$144.54	$275.42	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $562.34 / $776.25	Professional		$144.54	$562.34	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $263.03	Professional		$128.82	$158.49	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $316.23	Professional		$131.83	$186.21	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $151.36	Professional		$72.44	$120.23	$151.36