Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Professional		$100.00	$100.00	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $128.82	Professional		$34.67	$61.66	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $281.84	Professional		$24.55	$51.29	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $251.19	Professional		$109.65	$109.65	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $77.62	Professional		$36.31	$41.69	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $75.86	Professional		$24.55	$31.62	$75.86