Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $549.54	Professional		$190.55	$288.40	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $407.38	Facility		$245.47	$389.05	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $794.33	Professional		$239.88	$602.56	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $302.00	Professional		$60.26	$245.47	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $302.00	Professional		$48.98	$61.66	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,905.46	Facility		$1,621.81	$1,621.81	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $323.59	Professional		$74.13	$85.11	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $25.12 / $25.12	Facility		$0.04	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $97.72 / $186.21	Professional		$33.11	$97.72	$186.21