Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $176.12 / $217.97	Professional		$174.38	$176.12	$217.97
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 $301.60 / $301.60 / $301.60	Facility		$301.60	$301.60	$301.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $254.04 / $254.04	Professional		$254.04	$254.04	$254.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $254.04 / $254.04	Professional		$254.04	$254.04	$254.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $215.20 / $215.20	Professional		$187.20	$215.20	$215.20