Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.74 / $208.80 / $261.00	Professional		$189.74	$208.80	$261.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $270.61 / $270.61	Professional		$150.00	$270.61	$270.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $191.77 / $301.13	Facility		$170.00	$191.77	$301.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $1,048.00 / $1,048.00	Professional		$158.00	$1,048.00	$1,048.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Facility		$170.00	$170.00	$170.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $174.00 / $244.90	Professional		$102.04	$174.00	$244.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $167.70 / $202.10	Professional		$4.00	$167.70	$202.10