Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.41 / $0.57	Professional		$0.31	$0.41	$0.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.91 / $150.00	Professional		$9.31	$9.91	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.27 / $0.54	Facility		$0.15	$0.27	$0.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.49	Professional		$0.20	$0.20	$0.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Facility		$0.31	$0.31	$0.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.41	Professional		$0.31	$0.31	$0.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $8.80	Professional		$8.80	$8.80	$8.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.34	Professional		$0.20	$0.20	$0.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.23 / $0.23	Professional		$0.18	$0.23	$0.23