Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $125.89	Professional		$18.20	$37.15	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.24 / $0.28	Professional		$0.22	$0.24	$0.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.40 / $1.12	Professional		$0.22	$0.40	$1.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.41 / $100.00	Facility		$0.23	$0.41	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $575.44	Professional		$0.22	$0.22	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.26 / $0.28	Professional		$0.25	$0.26	$0.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.44 / $0.48	Professional		$0.28	$0.44	$0.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.40 / $0.48	Professional		$0.24	$0.40	$0.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Facility		$0.36	$0.36	$0.36
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.24	Professional		$0.22	$0.22	$0.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22