Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $1.12 / $1.12	Professional		$0.39	$1.12	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.53 / $1.88	Professional		$1.43	$1.53	$1.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.46 / $2.41	Professional		$1.33	$1.46	$2.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $1.46 / $1.93	Facility		$0.92	$1.46	$1.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.85 / $3.43	Professional		$0.65	$0.85	$3.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.47 / $1.93	Facility		$1.34	$1.47	$1.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.53 / $2.22	Professional		$1.19	$1.53	$2.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $274.22 / $274.22 / $274.22	Facility		$274.22	$274.22	$274.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.80 / $2.60	Professional		$0.80	$1.80	$2.60
United Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.67 / $1.13	Professional		$0.64	$0.67	$1.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.20 / $1.20	Professional		$0.95	$1.20	$1.20