Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.99 / $1,704.99 / $2,131.23	Professional		$1,704.99	$1,704.99	$2,131.23
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 $1,011.55 / $1,497.00 / $2,301.19	Facility		$1,011.55	$1,497.00	$2,301.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.05 / $1,759.61 / $3,816.68	Professional		$1,044.05	$1,759.61	$3,816.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,497.00 / $1,497.00 / $1,497.00	Facility		$1,497.00	$1,497.00	$1,497.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,044.05 / $1,497.00 / $1,882.27	Professional		$1,044.05	$1,497.00	$1,882.27