Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.49 / $18.91	Professional		$3.75	$5.49	$18.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.50 / $9.38	Professional		$7.01	$7.50	$9.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $6.55 / $11.82	Professional		$5.27	$6.55	$11.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.09 / $8.64	Facility		$4.47	$7.09	$8.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.17 / $16.89	Professional		$3.20	$4.17	$16.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $7.21 / $9.44	Facility		$6.52	$7.21	$9.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $7.50 / $10.75	Professional		$5.81	$7.50	$10.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.90 / $12.90	Professional		$4.80	$8.90	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.27 / $6.55	Professional		$3.20	$3.27	$6.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $5.90 / $5.90	Facility		$5.90	$5.90	$5.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.90 / $5.90	Professional		$4.66	$5.90	$5.90