Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $5.18	Facility		$4.54	$4.54	$5.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $4.51 / $5.98	Professional		$2.09	$4.51	$5.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $7.83	Facility		$4.28	$4.28	$7.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $7.83 / $10.31	Professional		$4.53	$7.83	$10.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.12 / $7.86	Professional		$6.77	$7.12	$7.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $8.27 / $80.00	Facility		$4.87	$8.27	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.59 / $9.30	Professional		$2.77	$3.59	$9.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.83 / $9.38	Facility		$7.80	$7.83	$9.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $8.86 / $14.97	Professional		$6.13	$8.86	$14.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $192.48 / $192.48 / $192.48	Facility		$192.48	$192.48	$192.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.55 / $8.36	Professional		$2.77	$3.55	$8.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.41 / $6.41	Professional		$5.05	$6.41	$6.41