Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.02 / $3.02	Facility		$2.00	$3.02	$3.02
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 Facility Modifier Low / Median / High Price $2.29 / $2.29 / $4.27	Facility		$2.29	$2.29	$4.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.47 / $5.62	Professional		$2.40	$4.47	$5.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $4.90	Professional		$3.63	$4.68	$4.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $4.17 / $79.43	Facility		$2.57	$4.17	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.29 / $6.31	Professional		$1.62	$2.29	$6.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.37 / $4.90	Professional		$4.17	$4.37	$4.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $6.31 / $6.31	Professional		$3.24	$6.31	$6.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.58 / $2.69	Facility		$1.07	$1.58	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.86 / $3.47	Professional		$1.48	$1.86	$3.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.39 / $3.39	Professional		$2.69	$3.39	$3.39