Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.44 / $3.13	Professional		$2.08	$2.44	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $4.37 / $7.41	Professional		$0.38	$4.37	$7.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $12.80 / $150.00	Professional		$6.75	$12.80	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $5.00 / $19.70	Facility		$2.44	$5.00	$19.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.66 / $24.74	Professional		$1.76	$2.66	$24.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $4.88 / $7.52	Facility		$3.66	$4.88	$7.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.12 / $7.52	Professional		$3.75	$5.12	$7.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.60	Professional		$2.40	$2.40	$2.60
United Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Facility		$2.59	$2.59	$2.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.77 / $3.04	Professional		$1.74	$1.77	$3.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Facility		$28.00	$28.00	$28.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $28.00 / $28.00	Professional		$22.12	$28.00	$28.00