Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $34.03 / $65.52	Facility		$5.17	$34.03	$65.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $5.79 / $63.19	Professional		$2.29	$5.79	$63.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.22 / $6.53	Professional		$3.30	$5.22	$6.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.49 / $29.83	Professional		$2.99	$4.49	$29.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $15.78 / $90.00	Facility		$3.65	$15.78	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.99 / $7.80	Professional		$1.79	$2.99	$7.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $6.09 / $9.36	Facility		$3.65	$6.09	$9.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $6.09 / $8.75	Professional		$3.59	$6.09	$8.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.76 / $8,536.75 / $14,745.34	Facility		$1,343.76	$8,536.75	$14,745.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $82.76 / $100.81	Facility		$50.58	$82.76	$100.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.44 / $7.24	Professional		$1.79	$2.44	$7.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.99 / $2.99	Professional		$2.36	$2.99	$2.99