Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $11.22 / $79.43	Facility		$2.82	$11.22	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $11.22	Professional		$2.00	$2.75	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.82 / $3.80	Professional		$2.75	$2.82	$3.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $25.12 / $30.90	Professional		$2.75	$25.12	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.37 / $11.75	Facility		$2.69	$4.37	$11.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.02 / $588.84	Professional		$2.69	$3.02	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.37 / $6.03	Professional		$3.24	$4.37	$6.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.13 / $16.22	Professional		$4.37	$8.13	$16.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.90 / $5.89	Professional		$2.57	$4.90	$5.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.82 / $3.31	Professional		$2.75	$2.82	$3.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $2.95	Professional		$2.34	$2.95	$2.95