Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $6.31 / $242.72	Facility		$3.05	$6.31	$242.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $6.31	Professional		$1.74	$1.74	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.18 / $2.29	Professional		$1.84	$2.18	$2.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $10.97	Professional		$1.74	$1.74	$10.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $3.80 / $6.31	Facility		$2.18	$3.80	$6.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $3.48	Professional		$1.74	$1.74	$3.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.37 / $3.65	Facility		$2.09	$2.37	$3.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.38 / $4.00	Professional		$2.09	$2.38	$4.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.21	Professional		$3.11	$3.11	$3.21
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.91	Professional		$1.74	$1.74	$1.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.74 / $1.74	Professional		$1.37	$1.74	$1.74