Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $1.13	Professional		$0.38	$0.47	$1.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $98.10 / $150.00	Professional		$70.90	$98.10	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $32.00 / $57.28	Facility		$0.97	$32.00	$57.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.85 / $0.85	Professional		$0.84	$0.85	$0.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $0.92	Facility		$0.85	$0.85	$0.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.85 / $0.90	Professional		$0.84	$0.85	$0.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Professional		$86.40	$86.40	$86.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Facility		$0.70	$0.70	$0.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.70 / $0.70	Professional		$0.55	$0.70	$0.70