Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.63 / $1,221.63 / $1,527.04	Professional		$1,221.63	$1,221.63	$1,527.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,604.82 / $1,604.82	Professional		$150.00	$1,604.82	$1,604.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.34 / $1,352.23 / $1,810.30	Facility		$765.34	$1,352.23	$1,810.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,324.46 / $2,885.41	Professional		$1,183.00	$1,324.46	$2,885.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $657.78 / $852.48 / $1,062.00	Facility		$657.78	$852.48	$1,062.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $736.19 / $1,098.00 / $1,324.46	Professional		$736.19	$1,098.00	$1,324.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,254.40 / $1,511.50	Professional		$6.00	$1,254.40	$1,511.50