Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $5.01	Facility		$4.38	$4.38	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $4.36 / $5.78	Professional		$2.02	$4.36	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $7.56	Facility		$4.13	$4.13	$7.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $7.56 / $9.84	Professional		$4.44	$7.56	$9.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.94 / $9.44	Professional		$6.54	$6.94	$9.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $8.83 / $80.00	Facility		$4.71	$8.83	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $3.47 / $8.99	Professional		$2.67	$3.47	$8.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.56 / $9.06	Facility		$7.53	$7.56	$9.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $8.83 / $14.46	Professional		$5.92	$8.83	$14.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.35 / $1,387.35 / $1,387.35	Facility		$1,387.35	$1,387.35	$1,387.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.43 / $8.93	Professional		$2.65	$3.43	$8.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $6.18 / $6.18	Facility		$6.18	$6.18	$6.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.18 / $6.18	Professional		$4.88	$6.18	$6.18