Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $77.64 / $311.81	Facility		$0.13	$77.64	$311.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.08 / $0.14	Professional		$0.06	$0.08	$0.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Professional		$0.04	$0.05	$0.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $2.31	Professional		$0.06	$0.06	$2.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.13 / $1.00	Facility		$0.06	$0.13	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Professional		$0.05	$0.05	$0.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.90	Facility		$0.06	$0.06	$0.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.12	Professional		$0.05	$0.06	$0.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,345.50 / $17,558.43 / $30,328.17	Facility		$3,345.50	$17,558.43	$30,328.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05