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 $0.38 / $0.47 / $6.17	Professional		$0.38	$0.47	$6.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $151.36	Professional		$12.88	$13.49	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.07 / $19.50	Facility		$2.45	$4.07	$19.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.57 / $8.13	Professional		$1.74	$2.57	$8.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.01 / $33.88	Professional		$3.72	$5.01	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $8.13	Professional		$5.37	$6.03	$8.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.88	Professional		$2.40	$2.40	$2.88
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $2.57	Facility		$1.78	$1.78	$2.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.78 / $3.02	Professional		$1.74	$1.78	$3.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18