Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $1.61	Facility		$0.11	$0.11	$1.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.12	Professional		$0.11	$0.12	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.38 / $3.69	Professional		$0.13	$0.38	$3.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $2.08 / $3.27	Professional		$0.11	$2.08	$3.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.14 / $2.91	Facility		$0.10	$0.14	$2.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $61.16	Professional		$0.10	$0.10	$61.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.91 / $4.59	Facility		$2.25	$2.91	$4.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $2.91 / $4.59	Professional		$1.10	$2.91	$4.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.14	Professional		$0.13	$0.13	$0.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $0.10	Professional		$0.08	$0.10	$0.10