Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,290.87	Professional		$1,621.81	$1,862.09	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,445.44	Professional		$151.36	$151.36	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $22,908.68	Facility		$1,445.44	$1,905.46	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $4,365.16	Professional		$1,288.25	$1,659.59	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,659.59	Professional		$1,288.25	$1,513.56	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,659.59 / $2,137.96	Professional		$7.08	$1,659.59	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,380.38	Professional		$676.08	$1,122.02	$1,380.38