Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.68 / $5.79	Professional		$1.14	$1.68	$5.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.29 / $2.81	Professional		$2.15	$2.29	$2.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.66	Professional		$2.00	$2.00	$3.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.29 / $2.84	Facility		$1.68	$2.29	$2.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.28 / $5.45	Professional		$0.98	$1.28	$5.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.29 / $2.89	Facility		$2.20	$2.29	$2.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.29 / $3.36	Professional		$1.78	$2.29	$3.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.00 / $4.00	Professional		$2.50	$3.00	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.00 / $1.72	Professional		$0.95	$1.00	$1.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Facility		$1.81	$1.81	$1.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.81 / $1.81	Professional		$1.43	$1.81	$1.81