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 $4.17 / $24.55 / $30.90	Professional		$4.17	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $151.36	Professional		$32.36	$34.67	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.68 / $44.67	Facility		$2.69	$4.68	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.88 / $9.12	Professional		$1.95	$2.88	$9.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.03 / $8.91	Professional		$4.17	$6.03	$8.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $9.12	Professional		$6.03	$6.76	$9.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.24	Professional		$2.69	$2.69	$3.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.88	Facility		$1.95	$1.95	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.95 / $3.39	Professional		$1.91	$1.95	$3.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76