Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.34 / $51.17	Facility		$4.25	$4.34	$51.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.32 / $53.46	Professional		$2.29	$4.32	$53.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.93 / $4.38	Professional		$2.29	$2.93	$4.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.03 / $21.66	Professional		$2.29	$3.03	$21.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.42 / $4.62	Facility		$1.95	$3.42	$4.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.31 / $146.66	Professional		$1.95	$2.31	$146.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $3.43 / $4.29	Facility		$2.60	$3.43	$4.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.43 / $4.38	Professional		$2.27	$3.43	$4.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.77 / $4.30	Professional		$2.29	$3.77	$4.30
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.36 / $11.44	Professional		$2.29	$2.36	$11.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $2.13	Facility		$2.13	$2.13	$2.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.13 / $2.13	Professional		$1.68	$2.13	$2.13