Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.61 / $0.72	Professional		$0.12	$0.61	$0.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.98 / $150.00	Professional		$1.86	$1.98	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.27 / $0.70	Facility		$0.15	$0.27	$0.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.52 / $0.61	Professional		$0.12	$0.52	$0.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.61 / $0.61	Facility		$0.57	$0.61	$0.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.57 / $0.61	Professional		$0.12	$0.57	$0.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.50	Professional		$5.00	$5.00	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.09 / $0.09	Professional		$0.07	$0.09	$0.09