Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $120.39	Facility		$0.80	$0.80	$120.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.96 / $2.08	Professional		$0.80	$0.96	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.12 / $1.72	Professional		$0.94	$1.12	$1.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $2.54	Professional		$0.96	$0.96	$2.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.80 / $100.00	Facility		$0.80	$1.80	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.80 / $3.25	Professional		$1.57	$1.80	$3.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $1.37 / $2.00	Facility		$0.96	$1.37	$2.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.27 / $2.00	Professional		$1.07	$1.27	$2.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.85 / $2.40	Professional		$1.71	$1.85	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $1.06	Professional		$0.96	$0.96	$1.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.80 / $1.80	Professional		$1.42	$1.80	$1.80