Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.92	Professional		$1.75	$1.75	$1.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.38 / $0.47	Professional		$0.23	$0.38	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.24 / $150.00	Professional		$1.90	$3.24	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $1.75 / $3.13	Facility		$0.23	$1.75	$3.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $0.45	Professional		$0.21	$0.23	$0.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $0.45	Professional		$0.21	$0.23	$0.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.34 / $0.34	Professional		$0.27	$0.34	$0.34