Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $3.15 / $6.92	Facility		$3.15	$3.15	$6.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.99 / $4.62	Professional		$2.88	$2.99	$4.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $3.06 / $55.80	Professional		$1.50	$3.06	$55.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $16.48 / $55.32	Professional		$4.11	$16.48	$55.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $3.15 / $70.62	Facility		$1.65	$3.15	$70.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $484.17	Professional		$3.00	$3.00	$484.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $47.87 / $88.30	Facility		$2.00	$47.87	$88.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $7.37 / $88.30	Professional		$1.77	$7.37	$88.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $20.42 / $86.50	Professional		$2.90	$20.42	$86.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.15	Professional		$3.00	$3.00	$3.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.30 / $3.30	Professional		$2.61	$3.30	$3.30