Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.31 / $15.49	Facility		$4.07	$6.31	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.47 / $46.77	Professional		$3.98	$4.47	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.17 / $5.62	Professional		$4.07	$4.17	$5.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $12.02 / $22.91	Professional		$3.47	$12.02	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.37 / $9.77	Facility		$3.80	$5.37	$9.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $112.20	Professional		$3.80	$4.79	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.62 / $6.46	Professional		$5.37	$5.62	$6.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $12.59	Professional		$4.90	$5.89	$12.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.92 / $8.71	Professional		$4.17	$6.92	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.27 / $6.61	Professional		$4.07	$4.27	$6.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.80 / $3.80	Professional		$2.95	$3.80	$3.80