Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $12.97 / $13.12	Facility		$5.63	$12.97	$13.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.40 / $188.14	Professional		$4.36	$4.40	$188.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.53 / $37.00	Professional		$3.83	$4.53	$37.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $12.81 / $144.94	Professional		$4.36	$12.81	$144.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $6.85 / $103.01	Facility		$3.73	$6.85	$103.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.15 / $2,120.40	Professional		$3.73	$4.15	$2,120.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $7.91 / $79.77	Facility		$4.53	$7.91	$79.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $37.00 / $129.35	Professional		$4.53	$37.00	$129.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.65 / $132.10	Professional		$5.50	$8.65	$132.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.49 / $5.19	Professional		$4.36	$4.49	$5.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.09 / $4.09	Professional		$3.23	$4.09	$4.09