Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $29.31	Facility		$2.09	$2.09	$29.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $3.62	Professional		$1.83	$1.83	$3.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.86 / $2.29	Professional		$1.83	$1.86	$2.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $3.31 / $7.17	Professional		$1.83	$3.31	$7.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $2.09 / $2.94	Facility		$1.71	$2.09	$2.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $552.48	Professional		$1.83	$1.83	$552.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $2.17 / $2.70	Facility		$1.49	$2.17	$2.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.17 / $2.70	Professional		$1.50	$2.17	$2.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.80 / $3.40	Professional		$2.70	$2.80	$3.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.88	Professional		$1.83	$1.83	$1.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Facility		$1.83	$1.83	$1.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.83 / $1.83	Professional		$1.45	$1.83	$1.83