Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $22.92 / $113.00	Facility		$1.61	$22.92	$113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $6.00 / $20.32	Professional		$1.31	$6.00	$20.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.04 / $1.12	Professional		$0.90	$1.04	$1.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.52 / $7.00	Professional		$0.84	$1.52	$7.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.90 / $21.82	Facility		$1.04	$1.90	$21.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $2.04	Professional		$0.86	$0.86	$2.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.17 / $2.00	Facility		$1.02	$1.17	$2.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.84 / $3.60	Professional		$1.03	$1.84	$3.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $513.33 / $886.65	Facility		$209.52	$513.33	$886.65
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.87	Professional		$0.84	$0.84	$0.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Facility		$0.86	$0.86	$0.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Professional		$0.86	$0.86	$0.86