Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $251.19	Professional		$112.20	$199.53	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $204.17	Professional		$151.36	$165.96	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $131.83 / $138.04	Facility		$54.95	$131.83	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $223.87 / $371.54	Professional		$100.00	$223.87	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $169.82	Professional		$97.72	$97.72	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $190.55 / $229.09	Professional		$5.01	$190.55	$229.09