Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.75 / $582.75 / $728.44	Professional		$336.75	$582.75	$728.44
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 $584.42 / $584.42 / $584.42	Facility		$584.42	$584.42	$584.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.26 / $490.26 / $842.02	Professional		$490.26	$490.26	$842.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.26 / $490.26 / $842.02	Professional		$490.26	$490.26	$842.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.20 / $760.20 / $760.20	Professional		$645.20	$760.20	$760.20