Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.17 / $2.78	Professional		$1.85	$2.17	$2.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.14 / $48.28	Professional		$3.89	$6.14	$48.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $61.67 / $150.00	Professional		$6.14	$61.67	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $4.73 / $6.36	Facility		$2.17	$4.73	$6.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.36 / $12.32	Professional		$1.57	$2.36	$12.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.36 / $6.14	Facility		$3.26	$4.36	$6.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.55 / $6.14	Professional		$3.33	$4.55	$6.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $56.80 / $56.80	Professional		$56.80	$56.80	$56.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.70	Professional		$1.57	$1.57	$2.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Facility		$4.59	$4.59	$4.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.59 / $4.59	Professional		$3.63	$4.59	$4.59