Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $177.83	Professional		$141.25	$141.25	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $831.76	Professional		$109.65	$151.36	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $380.19	Professional		$123.03	$186.21	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $457.09	Professional		$162.18	$239.88	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $346.74	Professional		$194.98	$194.98	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $263.03	Professional		$109.65	$194.98	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $288.40	Professional		$117.49	$158.49	$288.40