Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $10.96	Professional		$1.35	$1.35	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.93 / $1.35	Professional		$0.76	$0.93	$1.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.50 / $151.36	Professional		$5.25	$5.50	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.83 / $1.66	Facility		$0.54	$0.83	$1.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.56 / $1.70	Professional		$0.39	$0.56	$1.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.00 / $1.23	Professional		$0.78	$1.00	$1.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.35 / $1.82	Professional		$1.26	$1.35	$1.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.58	Facility		$0.39	$0.39	$0.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.39 / $0.68	Professional		$0.38	$0.39	$0.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85