Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $6.03	Professional		$0.38	$0.47	$6.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $151.36	Professional		$16.60	$17.78	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.72 / $13.80	Facility		$2.45	$3.72	$13.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.69 / $7.59	Professional		$1.74	$2.69	$7.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $4.90 / $6.92	Professional		$0.12	$4.90	$6.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $8.13	Professional		$5.37	$6.03	$8.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $2.57	Facility		$1.78	$1.78	$2.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.78 / $3.16	Professional		$1.74	$1.78	$3.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09