Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $4.01	Facility		$2.50	$2.50	$4.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $8.93	Professional		$0.88	$0.88	$8.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.46 / $2.24	Professional		$0.88	$1.46	$2.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.59 / $108.06	Professional		$0.88	$1.59	$108.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.39 / $44.79	Facility		$1.84	$2.39	$44.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.02 / $8,746.08	Professional		$1.84	$2.02	$8,746.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.29 / $20.00	Facility		$1.70	$2.29	$20.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.24 / $43.03	Professional		$1.75	$2.24	$43.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.81 / $36.79	Professional		$0.89	$1.81	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.91 / $1.06	Professional		$0.88	$0.91	$1.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.84 / $1.84	Facility		$1.84	$1.84	$1.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.84 / $1.84	Professional		$1.45	$1.84	$1.84