Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $17.92 / $276.86	Facility		$2.81	$17.92	$276.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $3.45 / $480.00	Professional		$1.48	$3.45	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.79 / $1.92	Professional		$1.54	$1.79	$1.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $20.80	Professional		$1.48	$1.48	$20.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $3.00 / $6.39	Facility		$1.79	$3.00	$6.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $2.94	Professional		$1.47	$1.47	$2.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $1.90 / $2.29	Facility		$1.77	$1.90	$2.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.95 / $3.10	Professional		$1.69	$1.95	$3.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $364.32 / $3,634.59 / $6,277.92	Facility		$364.32	$3,634.59	$6,277.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.63	Professional		$2.61	$2.61	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.63	Professional		$1.48	$1.48	$1.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.47 / $1.47	Professional		$1.15	$1.47	$1.47