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 / $3.98	Professional		$1.00	$1.00	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.02 / $3.80	Professional		$2.45	$3.02	$3.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.80 / $151.36	Professional		$2.45	$3.80	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.75 / $13.49	Facility		$2.04	$2.75	$13.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.66 / $5.25	Professional		$1.15	$1.66	$5.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $6.17	Professional		$2.69	$2.82	$6.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.25 / $5.37	Professional		$4.07	$5.25	$5.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.98 / $4.79	Professional		$2.40	$3.98	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.38	Facility		$1.23	$1.23	$1.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.23 / $2.04	Professional		$1.15	$1.23	$2.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19