Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $66.27 / $658.60	Facility		$0.70	$66.27	$658.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $85.18 / $187.38	Professional		$0.39	$85.18	$187.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.32 / $0.33	Professional		$0.26	$0.32	$0.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $1.97	Professional		$0.28	$0.28	$1.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.54 / $2.17	Facility		$0.32	$0.54	$2.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.51	Professional		$0.26	$0.26	$0.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.36 / $0.45	Facility		$0.32	$0.36	$0.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.42 / $0.80	Professional		$0.32	$0.42	$0.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $335.39 / $3,072.97 / $5,307.85	Facility		$335.39	$3,072.97	$5,307.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Professional		$0.49	$0.49	$0.49
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.31	Professional		$0.28	$0.28	$0.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.26 / $0.26	Professional		$0.21	$0.26	$0.26