Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.55 / $190.55	Facility		$2.57	$3.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.39 / $16.98	Professional		$2.00	$3.39	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.63 / $3.31	Professional		$2.57	$2.63	$3.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.50 / $12.88	Professional		$2.82	$5.50	$12.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.02 / $4.17	Facility		$2.24	$3.02	$4.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.51 / $40.74	Professional		$2.24	$2.51	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.39 / $4.37	Professional		$2.95	$3.39	$4.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.37 / $5.50	Professional		$2.95	$4.37	$5.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.57 / $5.75	Professional		$2.82	$4.57	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.63 / $3.09	Professional		$2.57	$2.63	$3.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $3.09	Professional		$2.45	$3.09	$3.09