Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $3.94 / $8.76	Facility		$3.94	$3.94	$8.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.78 / $7.81	Professional		$3.65	$3.78	$7.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.01 / $5.94	Professional		$3.88	$4.01	$5.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $39.69 / $60.09	Professional		$35.53	$39.69	$60.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $3.94 / $6.40	Facility		$3.61	$3.94	$6.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.18 / $990.66	Professional		$3.80	$4.18	$990.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $6.36 / $7.90	Facility		$4.75	$6.36	$7.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.88 / $6.10	Professional		$4.75	$4.88	$6.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $6.10 / $7.40	Professional		$3.95	$6.10	$7.40
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.91 / $4.51	Professional		$3.80	$3.91	$4.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Facility		$4.41	$4.41	$4.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $4.41 / $4.41	Professional		$3.48	$4.41	$4.41