Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $33.35 / $73.62	Facility		$6.25	$33.35	$73.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.67 / $15.34	Professional		$3.29	$4.67	$15.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.47 / $13.28	Professional		$4.26	$7.47	$13.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.03 / $35.70	Facility		$4.26	$6.03	$35.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.12 / $9.91	Professional		$4.26	$5.12	$9.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $7.83 / $12.45	Facility		$4.34	$7.83	$12.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $7.83 / $11.14	Professional		$5.12	$7.83	$11.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $149.00 / $257.36	Facility		$37.70	$149.00	$257.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $9.35	Professional		$4.26	$4.26	$9.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26