Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $93.75	Professional		$75.00	$75.00	$93.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $101.25 / $200.00	Facility		$101.25	$101.25	$200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $101.25 / $195.75	Professional		$100.00	$101.25	$195.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $101.25 / $101.25	Facility		$100.00	$101.25	$101.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $101.25 / $195.75	Professional		$100.00	$101.25	$195.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $245.70 / $345.16	Facility		$117.00	$245.70	$345.16