Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.63 / $2.09	Professional		$1.39	$1.63	$2.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.91 / $4.59	Professional		$2.25	$2.91	$4.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $7.44 / $150.00	Professional		$4.70	$7.44	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $3.69 / $4.84	Facility		$1.63	$3.69	$4.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.76 / $9.57	Professional		$1.18	$1.76	$9.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.27 / $4.59	Facility		$2.45	$3.27	$4.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.41 / $4.59	Professional		$2.50	$3.41	$4.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $2.17	Professional		$1.18	$1.18	$2.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $3.07 / $3.07	Facility		$3.07	$3.07	$3.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.07 / $3.07	Professional		$2.43	$3.07	$3.07