Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $6.31 / $212.98	Facility		$2.62	$6.31	$212.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.82 / $68.54	Professional		$1.75	$1.82	$68.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.90 / $3.40	Professional		$1.69	$1.90	$3.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $6.98 / $214.53	Professional		$1.75	$6.98	$214.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.57 / $9.00	Facility		$1.40	$2.57	$9.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.74 / $535.45	Professional		$1.40	$1.74	$535.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.57 / $5.31	Facility		$1.97	$2.57	$5.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.04 / $6.52	Professional		$1.97	$3.04	$6.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $3.20 / $11.20	Professional		$1.79	$3.20	$11.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.80 / $32.00	Professional		$1.75	$1.80	$32.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.53 / $1.53	Professional		$1.21	$1.53	$1.53