Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.88 / $6.27	Professional		$4.16	$4.88	$6.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.44 / $14.81	Professional		$6.75	$8.44	$14.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $32.58 / $150.00	Professional		$14.02	$32.58	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $9.80 / $52.70	Facility		$4.88	$9.80	$52.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.35 / $26.00	Professional		$3.53	$5.35	$26.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $9.80 / $13.83	Facility		$7.34	$9.80	$13.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $9.94 / $13.83	Professional		$7.29	$9.94	$13.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.53 / $6.07	Professional		$3.50	$3.53	$6.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Facility		$5.09	$5.09	$5.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.09 / $5.09	Professional		$4.03	$5.09	$5.09