Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.45 / $501.20	Facility		$0.19	$0.45	$501.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $93.48	Professional		$0.10	$0.13	$93.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.22	Professional		$0.10	$0.12	$0.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.18 / $4.91	Professional		$0.10	$0.18	$4.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.19 / $2.49	Facility		$0.11	$0.19	$2.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $306.11	Professional		$0.11	$0.12	$306.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.16 / $2.00	Facility		$0.14	$0.16	$2.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.22 / $2.49	Professional		$0.14	$0.22	$2.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,415.60 / $22,519.80 / $64,181.47	Facility		$4,415.60	$22,519.80	$64,181.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.40 / $4.09	Professional		$0.10	$0.40	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $0.11	Professional		$0.09	$0.11	$0.11