Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Facility		$1.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.16	Professional		$1.00	$1.00	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $2.82	Facility		$1.51	$1.51	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $3.02 / $3.72	Professional		$1.55	$3.02	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.95 / $3.63	Professional		$2.14	$2.95	$3.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.75 / $79.43	Facility		$1.74	$2.75	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.55 / $4.27	Professional		$1.15	$1.55	$4.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.88 / $3.31	Professional		$2.75	$2.88	$3.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Facility		$2.82	$2.82	$2.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $4.27 / $4.27	Professional		$2.19	$4.27	$4.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.15 / $1.78	Facility		$0.76	$1.15	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.26 / $2.19	Professional		$1.07	$1.26	$2.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.29 / $2.29	Professional		$1.82	$2.29	$2.29