Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $121.38 / $243.76	Professional		$69.09	$121.38	$243.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $202.38 / $238.09	Professional		$100.00	$202.38	$238.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $111.19 / $133.00	Facility		$111.19	$111.19	$133.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $317.00 / $418.89	Professional		$105.23	$317.00	$418.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $133.00 / $133.00	Facility		$99.56	$133.00	$133.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $125.05 / $167.03	Professional		$84.22	$125.05	$167.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $120.10 / $232.10	Professional		$120.10	$120.10	$232.10