Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $2.08 / $637.07	Facility		$0.67	$2.08	$637.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $2.08 / $318.62	Professional		$0.63	$2.08	$318.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.69 / $1.30	Professional		$0.60	$0.69	$1.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.13 / $19.82	Professional		$0.63	$1.13	$19.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.95 / $12.24	Facility		$0.38	$0.95	$12.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.45 / $1,046.63	Professional		$0.38	$0.45	$1,046.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.95 / $3.20	Facility		$0.73	$0.95	$3.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $1.10 / $7.01	Professional		$0.73	$1.10	$7.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.12 / $27.40	Professional		$0.63	$1.12	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $5.30	Professional		$0.63	$0.67	$5.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.41 / $0.41	Facility		$0.41	$0.41	$0.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.41 / $0.41	Professional		$0.32	$0.41	$0.41