Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $5.36	Facility		$2.15	$2.15	$5.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.79 / $117.82	Professional		$2.15	$2.79	$117.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.79 / $12.05	Professional		$2.54	$2.79	$12.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.81 / $105.52	Professional		$1.32	$2.81	$105.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.25 / $62.64	Facility		$1.59	$2.25	$62.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $1,837.68	Professional		$1.59	$1.77	$1,837.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $3.33 / $57.83	Facility		$2.38	$3.33	$57.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $12.05 / $72.61	Professional		$2.77	$12.05	$72.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $4.98 / $100.80	Professional		$2.68	$4.98	$100.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.87 / $3.32	Professional		$2.79	$2.87	$3.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Facility		$1.74	$1.74	$1.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.74 / $1.74	Professional		$1.37	$1.74	$1.74