Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.50 / $1.70	Facility		$1.18	$1.50	$1.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.50	Professional		$0.63	$0.63	$1.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.91 / $4.79	Professional		$0.63	$0.91	$4.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.13 / $18.66	Professional		$0.63	$1.13	$18.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $1.03 / $3.39	Facility		$0.78	$1.03	$3.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.87 / $7.30	Professional		$0.78	$0.87	$7.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $1.18 / $3.49	Facility		$0.91	$1.18	$3.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.05 / $4.79	Professional		$0.91	$1.05	$4.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.25 / $1.34	Professional		$0.63	$1.25	$1.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.75	Professional		$0.63	$0.63	$0.75
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 $0.68 / $0.86 / $0.86	Professional		$0.68	$0.86	$0.86