Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.86 / $13.29	Professional		$2.64	$3.86	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.27 / $6.56	Professional		$4.94	$5.27	$6.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $8.34	Professional		$4.61	$4.61	$8.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $4.63 / $6.08	Facility		$3.14	$4.63	$6.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.93 / $11.88	Professional		$2.25	$2.93	$11.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $5.07 / $6.64	Facility		$4.59	$5.07	$6.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.27 / $7.56	Professional		$4.08	$5.27	$7.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $6.30 / $9.10	Professional		$2.10	$6.30	$9.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.29 / $3.94	Professional		$2.19	$2.29	$3.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $4.15	Facility		$4.15	$4.15	$4.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.15 / $4.15	Professional		$3.28	$4.15	$4.15