Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.35 / $8.11	Professional		$1.61	$2.35	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.38 / $4.22	Professional		$3.00	$3.38	$4.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.11 / $5.09	Professional		$2.81	$3.11	$5.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $3.00 / $3.88	Facility		$1.93	$3.00	$3.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.80 / $7.30	Professional		$1.38	$1.80	$7.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.09 / $4.04	Facility		$3.00	$3.09	$4.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.21 / $4.63	Professional		$2.50	$3.21	$4.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.20 / $5.50	Professional		$3.50	$4.20	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $1.28	Facility		$1.28	$1.28	$1.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.40 / $2.41	Professional		$1.34	$1.40	$2.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Facility		$2.52	$2.52	$2.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.52 / $2.52	Professional		$2.00	$2.52	$2.52