Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $169.82	Professional		$66.07	$102.33	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $107.15 / $138.04	Facility		$22.39	$107.15	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $218.78 / $354.81	Professional		$22.39	$218.78	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $66.07 / $131.83	Professional		$19.95	$66.07	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $147.91	Professional		$18.20	$22.91	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $144.54	Professional		$26.30	$30.20	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $54.95	Facility		$31.62	$31.62	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.44 / $52.48	Professional		$11.22	$23.44	$52.48