Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $3.66	Facility		$2.35	$2.35	$3.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.36	Professional		$1.35	$1.35	$2.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.50 / $2.40	Professional		$1.35	$1.50	$2.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.35 / $4.36	Professional		$1.20	$1.35	$4.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.35 / $6.57	Facility		$1.68	$2.35	$6.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $610.54	Professional		$1.68	$1.68	$610.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $2.11 / $10.00	Facility		$1.25	$2.11	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $2.27 / $6.45	Professional		$1.15	$2.27	$6.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $2.41 / $12.00	Professional		$1.10	$2.41	$12.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.39	Professional		$1.35	$1.35	$1.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Facility		$1.68	$1.68	$1.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.68 / $1.68	Professional		$1.33	$1.68	$1.68