Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.84 / $22.30	Professional		$15.39	$17.84	$22.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $21.72 / $128.99	Facility		$10.14	$21.72	$128.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $69.15 / $69.15	Professional		$20.10	$69.15	$69.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Facility		$23.00	$23.00	$23.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $20.10 / $23.76	Professional		$10.80	$20.10	$23.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Professional		$30.10	$30.10	$30.10