Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $153.75 / $156.21	Professional		$123.00	$153.75	$156.21
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 $154.00 / $383.70 / $383.70	Facility		$154.00	$383.70	$383.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $207.01 / $466.06	Professional		$154.00	$207.01	$466.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Facility		$154.00	$154.00	$154.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $154.00 / $207.01	Professional		$121.16	$154.00	$207.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $312.50 / $312.50	Professional		$312.50	$312.50	$312.50