Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.07 / $0.11	Facility		$0.05	$0.07	$0.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $7.12	Professional		$0.38	$0.47	$7.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $150.00 / $275.00	Professional		$0.10	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.05 / $6.15	Facility		$0.03	$0.05	$6.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $5.22	Professional		$3.73	$3.73	$5.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.73 / $5.74	Facility		$3.73	$3.73	$5.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.22 / $5.59	Professional		$3.73	$5.22	$5.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Facility		$3.10	$3.10	$3.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.10 / $3.10	Professional		$2.45	$3.10	$3.10