Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $204.17 / $549.54	Facility		$85.11	$204.17	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $44.67 / $416.87	Professional		$6.61	$44.67	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.18	Professional		$0.11	$0.11	$0.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $2.51 / $5.01	Professional		$0.10	$2.51	$5.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.18 / $2.24	Facility		$0.11	$0.18	$2.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $309.03	Professional		$0.11	$0.12	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.18 / $2.00	Professional		$0.14	$0.18	$2.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $2.09 / $4.27	Professional		$0.22	$2.09	$4.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $45,708.82 / $63,095.73	Facility		$954.99	$45,708.82	$63,095.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.22 / $3.02	Professional		$0.11	$0.22	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $0.10	Professional		$0.08	$0.10	$0.10