Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.28 / $0.72	Professional		$0.12	$0.28	$0.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.95 / $151.36	Professional		$1.86	$1.95	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.23 / $0.71	Facility		$0.15	$0.23	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.62 / $0.62	Professional		$0.12	$0.62	$0.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.62 / $0.62	Professional		$0.12	$0.62	$0.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.52 / $0.52	Professional		$0.12	$0.52	$0.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.03	Professional		$5.01	$5.01	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.35 / $33.11	Professional		$0.26	$0.35	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09