Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.62	Facility		$1.51	$1.51	$1.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.74	Professional		$1.51	$1.51	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.68	Professional		$0.36	$0.36	$0.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $2.09 / $3.16	Professional		$0.32	$2.09	$3.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.49 / $1.51	Facility		$0.31	$0.49	$1.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $4,073.80	Professional		$0.31	$0.31	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.49 / $1.00	Professional		$0.37	$0.49	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.81 / $1.91	Professional		$0.68	$0.81	$1.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.49 / $1.29	Professional		$0.25	$0.49	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.36 / $0.38	Professional		$0.34	$0.36	$0.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Facility		$0.32	$0.32	$0.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.32 / $0.32	Professional		$0.25	$0.32	$0.32