Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $70.64 / $97.71	Professional		$49.55	$70.64	$97.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.91 / $150.91	Professional		$150.00	$150.91	$150.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $83.34 / $114.70	Facility		$51.23	$83.34	$114.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $301.00 / $371.24	Professional		$80.00	$301.00	$371.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $88.99 / $114.12	Professional		$63.04	$88.99	$114.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $164.70	Professional		$164.70	$164.70	$164.70