Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $26,302.68 / $33,113.11	Professional		$1,584.89	$26,302.68	$33,113.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $12,589.25 / $17,378.01	Professional		$676.08	$12,589.25	$17,378.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $22,908.68 / $43,651.58	Facility		$1,737.80	$22,908.68	$43,651.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $23,988.33 / $42,657.95	Professional		$1,905.46	$23,988.33	$42,657.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $28,183.83 / $33,113.11	Professional		$1,737.80	$28,183.83	$33,113.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $31,622.78	Professional		$1,513.56	$1,905.46	$31,622.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,778.28 / $20,892.96	Professional		$758.58	$1,778.28	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $12,302.69 / $37,153.52	Professional		$870.96	$12,302.69	$37,153.52