Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Professional		$1,071.52	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,148.15 / $1,288.25	Professional		$151.36	$1,148.15	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $1,096.48	Facility		$691.83	$870.96	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $4,365.16	Professional		$870.96	$1,000.00	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $1,000.00 / $1,202.26	Professional		$7.94	$1,000.00	$1,202.26