Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $151.26 / $189.08	Professional		$130.47	$151.26	$189.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $120.27 / $150.00	Professional		$120.27	$120.27	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $73.28 / $332.35	Facility		$51.18	$73.28	$332.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $272.41 / $272.41	Professional		$39.00	$272.41	$272.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Facility		$67.00	$67.00	$67.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $67.00 / $138.69	Professional		$47.00	$67.00	$138.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $192.20 / $192.20	Professional		$192.20	$192.20	$192.20