Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $25.32 / $138.62	Facility		$0.24	$25.32	$138.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $1.87 / $8.16	Professional		$0.17	$1.87	$8.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.16 / $1.99	Professional		$0.09	$0.16	$1.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $3.25 / $8.22	Facility		$0.16	$3.25	$8.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.23	Professional		$0.12	$0.12	$0.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $1.00	Facility		$0.11	$0.14	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.15 / $0.31	Professional		$0.11	$0.15	$0.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,839.23 / $30,276.74 / $52,296.14	Facility		$5,839.23	$30,276.74	$52,296.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12