Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $136.34 / $244.44	Professional		$109.07	$136.34	$244.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $202.37 / $202.37	Professional		$150.00	$202.37	$202.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $132.00 / $139.19	Facility		$55.00	$132.00	$139.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $225.37 / $373.91	Professional		$132.00	$225.37	$373.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Facility		$132.00	$132.00	$132.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $132.00 / $171.04	Professional		$96.99	$132.00	$171.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $172.60 / $207.90	Professional		$5.00	$172.60	$207.90