Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.44 / $3.13	Professional		$2.08	$2.44	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $3.65 / $6.92	Professional		$0.38	$3.65	$6.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $16.75 / $150.00	Professional		$7.17	$16.75	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $4.88 / $13.82	Facility		$2.44	$4.88	$13.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.67 / $13.69	Professional		$1.76	$2.67	$13.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $4.37 / $6.92	Facility		$2.93	$4.37	$6.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.95 / $6.92	Professional		$3.65	$4.95	$6.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $15.20	Professional		$15.20	$15.20	$15.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.77 / $3.14	Professional		$1.75	$1.77	$3.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.09 / $0.09	Professional		$0.07	$0.09	$0.09