Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.94 / $18.75	Professional		$12.75	$15.94	$18.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $26.18 / $57.99	Professional		$23.03	$26.18	$57.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $21.56 / $29.22	Professional		$18.27	$21.56	$29.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $28.20 / $35.90	Professional		$24.70	$28.20	$35.90