Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.68 / $1.68	Facility		$1.35	$1.68	$1.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.68	Professional		$0.85	$0.85	$1.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.85 / $1.09	Professional		$0.84	$0.85	$1.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $3.18 / $13.33	Professional		$0.85	$3.18	$13.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.19 / $2.06	Facility		$0.77	$1.19	$2.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.85 / $1,342.50	Professional		$0.77	$0.85	$1,342.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.85 / $1.54	Facility		$0.84	$0.85	$1.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.09 / $1.82	Professional		$0.84	$1.09	$1.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.52 / $2.29	Professional		$0.85	$1.52	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.01	Professional		$0.85	$0.85	$1.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Facility		$0.77	$0.77	$0.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.77 / $0.77	Professional		$0.61	$0.77	$0.77