Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.38 / $0.47	Professional		$0.20	$0.38	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.24 / $151.36	Professional		$3.16	$3.24	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $1.74 / $3.89	Facility		$0.23	$1.74	$3.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.23 / $0.45	Professional		$0.20	$0.23	$0.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.45	Professional		$0.23	$0.23	$0.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.45	Professional		$0.21	$0.21	$0.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34