Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $5.37	Facility		$1.86	$1.86	$5.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.69 / $162.18	Professional		$1.86	$2.69	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.75 / $3.89	Professional		$2.69	$2.75	$3.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $58.88 / $131.83	Professional		$2.34	$58.88	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.40 / $63.10	Facility		$1.58	$2.40	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.78 / $1,819.70	Professional		$1.58	$1.78	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.89 / $53.70	Professional		$2.40	$3.89	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $63.10 / $117.49	Professional		$12.02	$63.10	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.79 / $5.75	Professional		$2.45	$4.79	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.16	Professional		$2.69	$2.69	$3.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.02 / $3.02	Professional		$2.40	$3.02	$3.02