Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.45 / $252.10 / $315.13	Professional		$217.45	$252.10	$315.13
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 $127.73 / $198.66 / $384.75	Facility		$127.73	$198.66	$384.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $511.57 / $511.57	Professional		$182.00	$511.57	$511.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Facility		$182.00	$182.00	$182.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $182.00 / $260.07	Professional		$124.85	$182.00	$260.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $308.89 / $308.89	Professional		$308.89	$308.89	$308.89