Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $7.78 / $7.78	Facility		$2.31	$7.78	$7.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $11.16	Professional		$1.22	$1.22	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.80 / $3.03	Professional		$1.22	$1.80	$3.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $5.63 / $81.01	Professional		$1.22	$5.63	$81.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.80 / $38.36	Facility		$1.59	$2.80	$38.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $1,917.60	Professional		$1.59	$1.77	$1,917.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.24 / $24.58	Facility		$1.91	$2.24	$24.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.03 / $37.56	Professional		$1.91	$3.03	$37.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $2.29 / $62.70	Professional		$1.15	$2.29	$62.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.24 / $1.45	Professional		$1.22	$1.24	$1.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Facility		$1.59	$1.59	$1.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.59 / $1.59	Professional		$1.26	$1.59	$1.59