Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.04 / $5.28	Professional		$1.65	$2.04	$5.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $3.00 / $3.75	Professional		$0.72	$3.00	$3.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.43 / $8.58	Professional		$2.45	$4.43	$8.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.69 / $3.95	Facility		$0.69	$2.69	$3.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.65 / $7.01	Professional		$1.17	$1.65	$7.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.78 / $3.52	Facility		$2.69	$2.78	$3.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.80 / $3.64	Professional		$2.44	$2.80	$3.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.80 / $6.40	Professional		$4.00	$4.80	$6.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.22 / $5.04	Professional		$1.15	$1.22	$5.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Facility		$2.21	$2.21	$2.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.21 / $2.21	Professional		$1.75	$2.21	$2.21