Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.63 / $2.09	Professional		$1.01	$1.63	$2.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $4.59 / $7.50	Professional		$2.43	$4.59	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.23 / $150.00	Professional		$4.25	$6.23	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $3.27 / $4.98	Facility		$1.63	$3.27	$4.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.67 / $8.19	Professional		$1.15	$1.67	$8.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.91 / $4.59	Facility		$2.22	$2.91	$4.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.32 / $4.59	Professional		$2.43	$3.32	$4.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.18 / $2.02	Professional		$1.15	$1.18	$2.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Professional		$0.04	$0.05	$0.05