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 / $1.82 / $3.02	Professional		$1.00	$1.82	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.39 / $4.27	Professional		$2.82	$3.39	$4.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $5.01	Professional		$2.34	$2.95	$5.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $3.02 / $5.01	Facility		$1.91	$3.02	$5.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.70 / $5.75	Professional		$1.29	$1.70	$5.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.16 / $3.63	Professional		$3.02	$3.16	$3.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.68 / $6.03	Professional		$2.40	$4.68	$6.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.17 / $5.50	Professional		$2.29	$4.17	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.55	Facility		$1.38	$1.38	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.38 / $2.29	Professional		$1.26	$1.38	$2.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51