Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.15 / $2.78	Professional		$1.45	$2.15	$2.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.25 / $7.50	Professional		$3.53	$4.25	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $18.45 / $23.85	Professional		$11.99	$18.45	$23.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $3.34 / $6.41	Facility		$2.13	$3.34	$6.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.73 / $22.96	Professional		$1.54	$1.73	$22.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $3.89 / $6.14	Facility		$2.60	$3.89	$6.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.55 / $6.14	Professional		$3.26	$4.55	$6.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.57 / $2.63	Professional		$1.45	$1.57	$2.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.50 / $6.50	Professional		$5.14	$6.50	$6.50