Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.54 / $0.70	Professional		$0.46	$0.54	$0.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $1.54	Professional		$0.75	$0.94	$1.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $5.23 / $150.00	Professional		$1.35	$5.23	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.84 / $1.66	Facility		$0.54	$0.84	$1.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.56 / $2.74	Professional		$0.39	$0.56	$2.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.84 / $1.38	Facility		$0.78	$0.84	$1.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.10 / $1.34	Professional		$0.78	$1.10	$1.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.67	Professional		$0.39	$0.39	$0.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Facility		$0.86	$0.86	$0.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.86 / $0.86	Professional		$0.68	$0.86	$0.86