Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $467.74	Professional		$134.90	$151.36	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $407.38	Professional		$144.54	$245.47	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $588.84	Professional		$190.55	$302.00	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $407.38	Professional		$239.88	$239.88	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $323.59	Professional		$134.90	$239.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $363.08	Professional		$128.82	$218.78	$363.08