Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Facility		$6.83	$6.83	$6.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.33 / $1.11	Professional		$0.22	$0.33	$1.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.44 / $0.51	Professional		$0.38	$0.44	$0.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.45 / $0.71	Professional		$0.39	$0.45	$0.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.42 / $0.68	Facility		$0.28	$0.42	$0.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.26 / $1.05	Professional		$0.19	$0.26	$1.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.44 / $0.82	Facility		$0.43	$0.44	$0.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.47 / $0.65	Professional		$0.34	$0.47	$0.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.60 / $0.80	Professional		$0.50	$0.60	$0.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.33	Professional		$0.19	$0.19	$0.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Facility		$0.35	$0.35	$0.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.35 / $0.35	Professional		$0.28	$0.35	$0.35