Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $26.84 / $72.19	Professional		$16.50	$26.84	$72.19
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 $53.00 / $90.00 / $148.02	Facility		$53.00	$90.00	$148.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $53.00 / $157.35	Professional		$22.96	$53.00	$157.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $53.00 / $109.01	Professional		$22.96	$53.00	$109.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $110.10 / $136.10	Professional		$29.30	$110.10	$136.10