Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.53 / $1,493.53 / $1,866.92	Professional		$1,493.53	$1,493.53	$1,866.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,814.45 / $1,814.45	Professional		$150.00	$1,814.45	$1,814.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.69 / $1,432.72 / $1,985.13	Facility		$1,002.69	$1,432.72	$1,985.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.19 / $3,225.29 / $3,225.29	Professional		$1,288.19	$3,225.29	$3,225.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,320.00 / $1,320.00	Facility		$1,320.00	$1,320.00	$1,320.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $751.02 / $1,320.00 / $1,767.51	Professional		$751.02	$1,320.00	$1,767.51