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 $4.16 / $8.25 / $30.94	Professional		$4.16	$8.25	$30.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $32.58 / $150.00	Professional		$7.63	$32.58	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $6.14 / $44.85	Facility		$2.71	$6.14	$44.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.94 / $26.51	Professional		$1.96	$2.94	$26.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $5.43 / $8.36	Facility		$4.08	$5.43	$8.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $5.68 / $8.34	Professional		$4.16	$5.68	$8.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.90	Professional		$2.70	$2.70	$2.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $3.37	Professional		$1.96	$1.96	$3.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Facility		$6.75	$6.75	$6.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.75 / $6.75	Professional		$5.33	$6.75	$6.75