Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $5.09 / $5.25	Facility		$2.33	$5.09	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $5.58	Professional		$1.86	$1.86	$5.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.86 / $2.50	Professional		$1.39	$1.86	$2.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.53 / $28.45	Professional		$1.86	$4.53	$28.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.25 / $7.43	Facility		$1.33	$2.25	$7.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.48 / $179.29	Professional		$1.33	$1.48	$179.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $2.04 / $3.25	Facility		$1.63	$2.04	$3.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.37 / $4.50	Professional		$1.63	$2.37	$4.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.20 / $10.10	Professional		$1.80	$3.20	$10.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.92 / $2.21	Professional		$1.86	$1.92	$2.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.46 / $1.46	Facility		$1.46	$1.46	$1.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.46 / $1.46	Professional		$1.14	$1.46	$1.46