Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $48.75 / $71.19	Professional		$0.72	$48.75	$71.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.40 / $150.00	Professional		$61.44	$65.40	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $35.79 / $69.02	Facility		$20.00	$35.79	$69.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $52.24 / $59.85	Professional		$0.72	$52.24	$59.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $59.85 / $59.85	Facility		$57.53	$59.85	$59.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $57.53 / $59.85	Professional		$0.72	$57.53	$59.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $13.10	Professional		$12.00	$12.00	$13.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Facility		$0.60	$0.60	$0.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.60 / $0.60	Professional		$0.47	$0.60	$0.60