Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.80 / $7.80	Facility		$5.25	$7.80	$7.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $7.80	Professional		$2.93	$2.93	$7.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.96 / $4.20	Professional		$2.93	$2.96	$4.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $9.98 / $17.89	Professional		$2.93	$9.98	$17.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.26 / $7.80	Facility		$3.00	$4.26	$7.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $1,664.49	Professional		$3.00	$3.00	$1,664.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $4.46 / $5.38	Facility		$3.50	$4.46	$5.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.00 / $5.97	Professional		$3.50	$4.00	$5.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.82 / $7.00	Professional		$4.09	$5.82	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.02	Professional		$2.93	$2.93	$3.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.00 / $3.00	Professional		$2.37	$3.00	$3.00