Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $6.03	Facility		$5.01	$5.01	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $35.48	Professional		$3.02	$3.98	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $8.91 / $18.62	Professional		$3.02	$8.91	$18.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.01 / $7.24	Professional		$3.72	$5.01	$7.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.75 / $10.23	Facility		$3.98	$5.75	$10.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.41 / $28.84	Professional		$3.63	$7.41	$28.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.23 / $12.02	Professional		$6.03	$10.23	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $13.80	Professional		$10.23	$10.23	$13.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.13 / $10.47	Professional		$3.55	$5.13	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.17 / $10.96	Professional		$3.63	$6.17	$10.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.31 / $7.41	Professional		$5.37	$6.31	$7.41