Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $262.58 / $505.00	Professional		$151.59	$262.58	$505.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $304.08 / $357.75	Professional		$100.00	$304.08	$357.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $318.89 / $318.89	Facility		$222.00	$318.89	$318.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $623.53 / $657.30	Professional		$116.43	$623.53	$657.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $222.00 / $222.00	Facility		$158.33	$222.00	$222.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $198.86 / $265.61	Professional		$158.33	$198.86	$265.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $178.20 / $321.60	Professional		$178.20	$178.20	$321.60