Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $19.53 / $90.30	Facility		$6.72	$19.53	$90.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.48 / $22.25	Professional		$1.81	$2.48	$22.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.00 / $4.37	Professional		$1.81	$3.00	$4.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $5.69 / $19.98	Professional		$1.81	$5.69	$19.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $4.38 / $29.28	Facility		$2.52	$4.38	$29.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.81 / $125.33	Professional		$2.52	$2.81	$125.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.50 / $5.67	Facility		$3.00	$3.50	$5.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.84 / $14.37	Professional		$3.03	$3.84	$14.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $7.80 / $9.40	Professional		$3.60	$7.80	$9.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.86 / $2.15	Professional		$1.81	$1.86	$2.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Facility		$2.52	$2.52	$2.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.52 / $2.52	Professional		$1.99	$2.52	$2.52