Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $2.85	Facility		$0.99	$0.99	$2.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.78	Professional		$0.83	$0.83	$1.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.90 / $1.25	Professional		$0.83	$0.90	$1.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $2.31 / $12.62	Professional		$0.83	$2.31	$12.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.99 / $2.00	Facility		$0.81	$0.99	$2.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.90 / $44.37	Professional		$0.81	$0.90	$44.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.19 / $1.36	Facility		$0.98	$1.19	$1.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.21 / $1.52	Professional		$0.98	$1.21	$1.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.49 / $2.29	Professional		$0.83	$1.49	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.85 / $0.99	Professional		$0.83	$0.85	$0.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Facility		$0.88	$0.88	$0.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.88 / $0.88	Professional		$0.70	$0.88	$0.88