Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.02 / $176.27 / $384.68	Professional		$141.02	$176.27	$384.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $365.22 / $365.22	Professional		$150.00	$365.22	$365.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $180.14 / $248.00	Facility		$55.00	$180.14	$248.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $358.33 / $636.54	Professional		$125.00	$358.33	$636.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.98 / $213.81 / $248.00	Facility		$164.98	$213.81	$248.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $170.31 / $276.95	Professional		$124.48	$170.31	$276.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $258.60 / $311.70	Professional		$3.00	$258.60	$311.70