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 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.02 / $3.72	Professional		$2.63	$3.02	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.88 / $4.68	Professional		$2.24	$2.88	$4.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.88 / $4.79	Facility		$1.78	$2.88	$4.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.58 / $5.50	Professional		$1.20	$1.58	$5.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.02 / $3.39	Professional		$2.88	$3.02	$3.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.37 / $5.75	Professional		$2.29	$4.37	$5.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.17 / $5.25	Professional		$3.63	$4.17	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.48	Facility		$1.32	$1.32	$1.48
United Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.32 / $2.19	Professional		$1.17	$1.32	$2.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Professional		$2.34	$2.34	$2.34