Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $8,709.64	Professional		$1,023.29	$1,288.25	$8,709.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $3,388.44 / $4,365.16	Professional		$446.68	$3,388.44	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $9,549.93 / $27,542.29	Facility		$1,148.15	$9,549.93	$27,542.29
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $7,244.36 / $13,489.63	Professional		$1,258.93	$7,244.36	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $7,244.36 / $10,000.00	Professional		$1,148.15	$7,244.36	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $9,549.93	Professional		$1,000.00	$1,288.25	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,202.26 / $5,623.41	Professional		$512.86	$1,202.26	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $3,388.44 / $11,748.98	Professional		$562.34	$3,388.44	$11,748.98