Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $2.88	Professional		$2.00	$2.88	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.01 / $7.60	Professional		$3.75	$4.01	$7.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $6.12 / $14.14	Professional		$3.38	$6.12	$14.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $3.99 / $5.14	Facility		$2.71	$3.99	$5.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.21 / $9.97	Professional		$1.70	$2.21	$9.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $3.99 / $5.04	Facility		$3.84	$3.99	$5.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.51 / $7.60	Professional		$3.64	$4.51	$7.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $6.80	Professional		$5.60	$5.60	$6.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.70 / $2.91	Professional		$1.58	$1.70	$2.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.16 / $3.16	Professional		$2.50	$3.16	$3.16