Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $40.22 / $88.35	Facility		$4.18	$40.22	$88.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $3.69 / $18.00	Professional		$2.08	$3.69	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.57 / $5.71	Professional		$2.89	$4.57	$5.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.73 / $40.15	Professional		$2.70	$4.73	$40.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.75 / $48.40	Facility		$3.24	$6.75	$48.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.70 / $6.83	Professional		$1.62	$2.70	$6.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.50 / $8.46	Facility		$3.31	$5.50	$8.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $5.50 / $7.77	Professional		$3.25	$5.50	$7.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $249.49 / $430.93	Facility		$43.32	$249.49	$430.93
United Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $5.55	Professional		$1.62	$1.62	$5.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.70 / $2.70	Professional		$2.13	$2.70	$2.70