Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $6.30 / $13.44	Facility		$6.30	$6.30	$13.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.52 / $11.69	Professional		$3.45	$3.52	$11.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.62 / $5.72	Professional		$3.45	$4.62	$5.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.16 / $20.68	Professional		$3.45	$6.16	$20.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $5.73 / $8.36	Facility		$3.82	$5.73	$8.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.55 / $111.13	Professional		$3.82	$4.55	$111.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.43 / $6.62	Facility		$5.00	$5.43	$6.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $5.73 / $6.75	Professional		$4.92	$5.73	$6.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.15 / $8.10	Professional		$3.45	$6.15	$8.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.55 / $6.37	Professional		$3.45	$3.55	$6.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $4.18 / $4.18	Facility		$4.18	$4.18	$4.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.18 / $4.18	Professional		$3.30	$4.18	$4.18