Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $7.94 / $7.94	Facility		$2.45	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $7.94 / $63.10	Professional		$1.12	$7.94	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.68 / $2.14	Professional		$0.65	$0.68	$2.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $12.02 / $64.57	Professional		$1.23	$12.02	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.24 / $38.02	Facility		$1.58	$2.24	$38.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.78 / $1,905.46	Professional		$1.58	$1.78	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.14 / $10.47	Professional		$1.51	$2.14	$10.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $37.15 / $41.69	Professional		$1.51	$37.15	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $1.38 / $2.14	Professional		$0.71	$1.38	$2.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.68 / $0.91	Professional		$0.65	$0.68	$0.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.23 / $1.23	Professional		$0.95	$1.23	$1.23