Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.71 / $3.48	Professional		$2.31	$2.71	$3.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.84 / $8.17	Professional		$3.75	$4.84	$8.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $27.93 / $150.00	Professional		$7.65	$27.93	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $6.00 / $19.30	Facility		$2.71	$6.00	$19.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.94 / $15.06	Professional		$1.96	$2.94	$15.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $5.43 / $8.17	Facility		$4.08	$5.43	$8.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $5.68 / $8.17	Professional		$4.16	$5.68	$8.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.96 / $3.37	Professional		$1.94	$1.96	$3.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $6.80	Facility		$6.80	$6.80	$6.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.80 / $6.80	Professional		$5.37	$6.80	$6.80