Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $22.99 / $28.73	Professional		$22.99	$22.99	$28.73
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 $28.31 / $28.31 / $90.00	Facility		$28.31	$28.31	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $64.65 / $64.65	Professional		$64.65	$64.65	$64.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $28.31	Facility		$28.31	$28.31	$28.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $39.04 / $64.65	Professional		$28.31	$39.04	$64.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $744.79 / $2,571.16 / $4,441.09	Facility		$744.79	$2,571.16	$4,441.09