Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $3.89 / $102.33	Facility		$1.41	$3.89	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.89	Professional		$1.00	$1.00	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.70 / $1.78	Professional		$1.45	$1.70	$1.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.57 / $6.61	Professional		$1.41	$2.57	$6.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.40 / $4.07	Facility		$1.70	$2.40	$4.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.02	Professional		$1.41	$1.41	$3.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.74 / $2.04	Professional		$1.70	$1.74	$2.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.91 / $1.91	Professional		$1.70	$1.91	$1.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.45 / $3.02	Professional		$1.51	$2.45	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Facility		$2.34	$2.34	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.74	Professional		$1.41	$1.41	$1.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.41 / $1.41	Professional		$1.12	$1.41	$1.41