Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.76 / $0.93	Professional		$0.65	$0.76	$0.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.93 / $1.26	Professional		$0.59	$0.93	$1.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.71 / $1.20	Facility		$0.46	$0.71	$1.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.42 / $1.35	Professional		$0.30	$0.42	$1.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.79 / $1.00	Professional		$0.71	$0.79	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $1.10 / $1.48	Professional		$0.58	$1.10	$1.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.10 / $1.41	Professional		$0.89	$1.10	$1.41
United Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.32	Facility		$0.31	$0.31	$0.32
United Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.32 / $0.54	Professional		$0.30	$0.32	$0.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59