Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $217.20 / $271.50	Professional		$192.50	$217.20	$271.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $219.24 / $219.24	Professional		$143.81	$219.24	$219.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $174.22 / $348.00	Facility		$126.78	$174.22	$348.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $405.69 / $405.69	Professional		$103.00	$405.69	$405.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $128.00 / $191.86	Professional		$99.24	$128.00	$191.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $276.10 / $276.10	Professional		$276.10	$276.10	$276.10