Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $3.15	Facility		$2.76	$2.76	$3.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.76 / $3.64	Professional		$1.27	$2.76	$3.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $4.88 / $6.09	Professional		$2.96	$4.88	$6.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $8.36 / $9.90	Professional		$4.33	$8.36	$9.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $4.93 / $90.00	Facility		$3.38	$4.93	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.23 / $7.25	Professional		$1.99	$2.23	$7.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.76 / $6.01	Facility		$4.75	$4.76	$6.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $5.54 / $9.11	Professional		$3.84	$5.54	$9.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.60 / $8.00	Professional		$4.33	$5.60	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.16 / $5.07	Professional		$1.84	$2.16	$5.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Facility		$4.11	$4.11	$4.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.11 / $4.11	Professional		$3.25	$4.11	$4.11