Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.95 / $24.07	Facility		$0.37	$0.95	$24.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $3.30	Professional		$0.19	$0.19	$3.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.27 / $0.42	Professional		$0.18	$0.27	$0.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $1.48 / $23.62	Professional		$0.19	$1.48	$23.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.41 / $2.46	Facility		$0.23	$0.41	$2.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.27 / $155.58	Professional		$0.23	$0.27	$155.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.31 / $1.00	Facility		$0.27	$0.31	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.38 / $0.77	Professional		$0.27	$0.38	$0.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.50 / $1.80	Professional		$0.18	$0.50	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $4.12	Professional		$0.19	$0.20	$4.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.23 / $0.23	Professional		$0.18	$0.23	$0.23