Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.73 / $245.73 / $245.73	Facility		$245.73	$245.73	$245.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $245.73 / $245.73	Professional		$111.00	$245.73	$245.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $111.00	Facility		$77.39	$77.39	$111.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $102.00 / $133.04	Professional		$77.39	$102.00	$133.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Professional		$99.60	$99.60	$99.60