Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Professional		$794.33	$794.33	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $2,238.72	Professional		$467.74	$691.83	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,548.82	Facility		$512.86	$912.01	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,380.38	Professional		$380.19	$549.54	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,445.44	Professional		$676.08	$741.31	$1,445.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,380.38	Professional		$812.83	$812.83	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,570.88 / $6,309.57	Facility		$549.54	$4,570.88	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $758.58	Professional		$371.54	$457.09	$758.58