Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $22.18 / $76.23	Facility		$5.77	$22.18	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.20 / $25.40	Professional		$3.04	$5.20	$25.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $6.91 / $16.20	Professional		$3.95	$6.91	$16.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $6.73 / $32.04	Facility		$3.95	$6.73	$32.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.95 / $10.08	Professional		$2.37	$3.95	$10.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $8.05 / $12.38	Facility		$4.83	$8.05	$12.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.05 / $11.38	Professional		$4.75	$8.05	$11.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.01 / $15,248.65 / $26,338.58	Facility		$1,212.01	$15,248.65	$26,338.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.31 / $9.57	Professional		$2.37	$3.31	$9.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.95 / $3.95	Professional		$3.12	$3.95	$3.95