Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $6.63 / $194.42	Facility		$2.58	$6.63	$194.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $6.63	Professional		$1.71	$1.71	$6.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.17 / $2.29	Professional		$1.84	$2.17	$2.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $8.13	Professional		$1.71	$1.71	$8.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $3.33 / $6.63	Facility		$2.17	$3.33	$6.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $3.19	Professional		$1.71	$1.71	$3.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.33 / $3.59	Facility		$2.04	$2.33	$3.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.33 / $4.00	Professional		$2.04	$2.33	$4.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $3.14	Professional		$3.05	$3.05	$3.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.88	Professional		$1.71	$1.71	$1.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.71 / $1.71	Professional		$1.35	$1.71	$1.71