Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $4.17 / $5.13	Professional		$0.42	$4.17	$5.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.58 / $151.36	Professional		$0.55	$0.58	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.42 / $1.00	Facility		$0.27	$0.42	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.28 / $1.00	Professional		$0.19	$0.28	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.62 / $0.78	Professional		$0.42	$0.62	$0.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.68 / $0.91	Professional		$0.65	$0.68	$0.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
United Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.28	Facility		$0.20	$0.20	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $0.33	Professional		$0.19	$0.20	$0.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60