Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.63 / $4.71	Facility		$2.02	$3.63	$4.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.63	Professional		$2.54	$2.54	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.64 / $2.54	Professional		$1.31	$1.64	$2.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.97 / $28.45	Professional		$2.54	$2.97	$28.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $2.15 / $4.24	Facility		$1.34	$2.15	$4.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.53 / $853.09	Professional		$1.34	$1.53	$853.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.91 / $2.68	Facility		$1.34	$1.91	$2.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $2.00 / $2.92	Professional		$1.24	$2.00	$2.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.54 / $18.89	Professional		$1.70	$2.54	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.62 / $8.01	Professional		$2.54	$2.62	$8.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $1.47	Facility		$1.47	$1.47	$1.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.47 / $1.47	Professional		$1.15	$1.47	$1.47