Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $4.05	Facility		$1.71	$1.71	$4.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.11 / $4.01	Professional		$1.71	$2.11	$4.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.06 / $2.24	Professional		$1.65	$2.06	$2.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.15 / $36.67	Professional		$1.41	$2.15	$36.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.79 / $3.00	Facility		$1.59	$1.79	$3.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.77 / $411.09	Professional		$1.59	$1.77	$411.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.11 / $2.50	Facility		$1.62	$2.11	$2.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.11 / $2.86	Professional		$1.62	$2.11	$2.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.90 / $4.20	Professional		$2.11	$2.90	$4.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.17 / $2.70	Professional		$2.11	$2.17	$2.70
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