Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.57 / $30.00	Professional		$5.04	$7.57	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $19.00 / $50.63	Professional		$6.70	$19.00	$50.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.80 / $7.05	Professional		$4.09	$4.80	$7.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $5.38 / $29.02	Facility		$4.58	$5.38	$29.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $12.34 / $125.00	Professional		$6.34	$12.34	$125.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $6.70 / $10.83	Facility		$6.70	$6.70	$10.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.36 / $12.13	Professional		$6.07	$7.36	$12.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $35.42	Professional		$23.82	$23.82	$35.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $10.58 / $26.32	Professional		$6.00	$10.58	$26.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59