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 / $9.33	Professional		$1.00	$2.00	$9.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $2.51 / $3.98	Professional		$1.23	$2.51	$3.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.45 / $2.45	Professional		$2.24	$2.45	$2.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.86 / $2.82	Facility		$1.51	$1.86	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.02 / $4.27	Professional		$1.51	$3.02	$4.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.47 / $79.43	Facility		$1.74	$3.47	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.26 / $2.75	Professional		$0.83	$1.26	$2.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $6.31	Professional		$2.75	$2.75	$6.31
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 $3.55 / $6.31 / $6.31	Professional		$3.55	$6.31	$6.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.15 / $1.66	Facility		$0.76	$1.15	$1.66
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.23 / $2.00	Professional		$0.83	$1.23	$2.00