Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.61 / $578.16	Professional		$3.93	$4.61	$578.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $7.13 / $11.58	Professional		$3.10	$7.13	$11.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.96 / $150.00	Professional		$12.74	$13.96	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $7.13 / $16.52	Facility		$4.61	$7.13	$16.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.79 / $24.63	Professional		$3.33	$4.79	$24.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $7.13 / $11.00	Facility		$6.60	$7.13	$11.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.76 / $11.49	Professional		$6.60	$7.76	$11.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.34 / $5.73	Professional		$3.34	$3.34	$5.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Facility		$2.33	$2.33	$2.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.33 / $2.33	Professional		$1.84	$2.33	$2.33