Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $8.19	Professional		$0.12	$0.12	$8.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.65 / $19.94	Professional		$11.89	$14.65	$19.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $24.77 / $150.00	Professional		$23.27	$24.77	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.27 / $19.30	Facility		$0.12	$0.27	$19.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $14.65	Professional		$11.89	$11.89	$14.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $16.14	Facility		$11.89	$11.89	$16.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.65 / $15.70	Professional		$11.89	$14.65	$15.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Facility		$9.90	$9.90	$9.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.90 / $9.90	Professional		$7.82	$9.90	$9.90