Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $7.35 / $253.26	Facility		$5.73	$7.35	$253.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.07 / $74.25	Professional		$3.02	$7.07	$74.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.23 / $4.73	Professional		$3.02	$3.23	$4.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.78 / $23.94	Professional		$3.02	$4.78	$23.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $4.37 / $9.18	Facility		$2.72	$4.37	$9.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.24 / $171.39	Professional		$2.72	$3.24	$171.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.08 / $4.98	Facility		$3.02	$4.08	$4.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.32 / $5.33	Professional		$3.69	$4.32	$5.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.39 / $9.30	Professional		$3.02	$5.39	$9.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.11 / $5.32	Professional		$3.02	$3.11	$5.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Facility		$2.98	$2.98	$2.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.98 / $2.98	Professional		$2.35	$2.98	$2.98