Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $13.37 / $741.21	Facility		$4.75	$13.37	$741.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.69 / $4.75	Professional		$2.59	$2.69	$4.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $6.26	Professional		$2.75	$2.75	$6.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $38.40 / $45.03	Professional		$34.92	$38.40	$45.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $6.26 / $100.00	Facility		$1.39	$6.26	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $6.26	Professional		$2.70	$2.70	$6.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $15.50 / $20.92	Facility		$13.12	$15.50	$20.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.14 / $6.26	Professional		$1.07	$1.14	$6.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $37.34 / $42.16	Professional		$17.32	$37.34	$42.16
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.00	Professional		$2.70	$2.70	$3.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.69 / $4.69	Professional		$3.71	$4.69	$4.69