Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.49 / $6.26	Professional		$3.94	$4.49	$6.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $9.19 / $14.22	Professional		$3.00	$9.19	$14.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.24 / $7.51	Professional		$3.74	$5.24	$7.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $5.97 / $10.03	Facility		$4.03	$5.97	$10.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $8.59 / $28.94	Professional		$3.60	$8.59	$28.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $10.15 / $11.93	Facility		$8.59	$10.15	$11.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.15 / $11.91	Professional		$8.11	$10.15	$11.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.40 / $8.76	Professional		$3.31	$4.40	$8.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.97 / $12.15	Professional		$3.52	$5.97	$12.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.30 / $7.40	Professional		$5.40	$6.30	$7.40