Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.57 / $0.60	Facility		$0.30	$0.57	$0.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.57	Professional		$0.19	$0.19	$0.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $0.30	Professional		$0.19	$0.23	$0.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.49 / $2.13	Professional		$0.19	$0.49	$2.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.34 / $3.37	Facility		$0.20	$0.34	$3.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $224.77	Professional		$0.20	$0.20	$224.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.24 / $1.00	Facility		$0.21	$0.24	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.26 / $1.06	Professional		$0.23	$0.26	$1.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.30 / $0.50	Professional		$0.15	$0.30	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.20	Professional		$0.19	$0.19	$0.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.22 / $0.22	Professional		$0.17	$0.22	$0.22