Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.20 / $1.76	Professional		$1.05	$1.20	$1.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $4.95 / $150.00	Professional		$4.65	$4.95	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $4.00 / $6.80	Facility		$1.23	$4.00	$6.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.20 / $1.20	Professional		$1.05	$1.20	$1.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.20 / $1.20	Facility		$1.15	$1.20	$1.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.12 / $1.20	Professional		$1.05	$1.12	$1.20
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 $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.00 / $1.00	Professional		$0.79	$1.00	$1.00