Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $18.61	Facility		$5.64	$5.64	$18.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.34 / $60.89	Professional		$5.29	$5.34	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.30 / $6.56	Professional		$5.25	$5.30	$6.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.32 / $9.91	Professional		$4.51	$6.32	$9.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.61 / $8.19	Facility		$3.50	$5.61	$8.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.82 / $97.55	Professional		$5.29	$5.82	$97.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $6.16 / $7.70	Facility		$1.00	$6.16	$7.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $6.16 / $7.94	Professional		$1.97	$6.16	$7.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $7.20 / $9.46	Professional		$2.20	$7.20	$9.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.46 / $6.31	Professional		$5.30	$5.46	$6.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $5.79 / $5.79	Facility		$5.79	$5.79	$5.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.79 / $5.79	Professional		$4.57	$5.79	$5.79