Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $46.77 / $57.54	Professional		$45.71	$46.77	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $63.10 / $208.93	Facility		$54.95	$63.10	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $199.53 / $199.53	Professional		$54.95	$199.53	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $169.82	Professional		$54.95	$60.26	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $97.72	Professional		$30.20	$79.43	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $53.70	Professional		$45.71	$47.86	$53.70