Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,988.12 / $1,988.12 / $2,485.15	Professional		$1,988.12	$1,988.12	$2,485.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $1,230.09	Professional		$150.00	$150.00	$1,230.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,196.42 / $1,576.34 / $2,272.06	Facility		$1,196.42	$1,576.34	$2,272.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $1,600.16 / $7,524.00	Professional		$1,294.00	$1,600.16	$7,524.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $1,591.00 / $1,591.00	Facility		$1,591.00	$1,591.00	$1,591.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $866.93 / $1,543.00 / $1,600.16	Professional		$866.93	$1,543.00	$1,600.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.90 / $1,473.90 / $1,473.90	Professional		$1,473.90	$1,473.90	$1,473.90