Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $5.70 / $5.87	Facility		$2.79	$5.70	$5.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.89 / $61.38	Professional		$1.88	$1.89	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.88 / $19.82	Professional		$1.28	$1.88	$19.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $4.03 / $58.23	Professional		$1.88	$4.03	$58.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $3.13 / $36.29	Facility		$1.85	$3.13	$36.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.06 / $2,345.12	Professional		$1.85	$2.06	$2,345.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $2.90 / $26.00	Facility		$1.49	$2.90	$26.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $19.82 / $43.37	Professional		$1.49	$19.82	$43.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.77 / $38.29	Professional		$2.04	$3.77	$38.29
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.97 / $2.24	Professional		$1.88	$1.97	$2.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.02 / $2.02	Professional		$1.60	$2.02	$2.02