Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $446.68	Professional		$316.23	$354.81	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $380.19 / $446.68	Professional		$151.36	$380.19	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $446.68	Facility		$199.53	$281.84	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,862.09 / $1,862.09	Professional		$263.03	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $323.59 / $371.54	Professional		$5.01	$323.59	$371.54