Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $346.74	Professional		$138.04	$186.21	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $371.54	Facility		$144.54	$199.53	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $407.38 / $524.81	Professional		$138.04	$407.38	$524.81
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 $125.89 / $147.91 / $194.98	Professional		$125.89	$147.91	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $229.09	Professional		$125.89	$190.55	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $131.83	Professional		$70.79	$93.33	$131.83