Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $269.15	Facility		$21.38	$21.38	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.29	Professional		$1.26	$1.26	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.09 / $1.00	Professional		$0.02	$0.09	$1.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.21 / $1.00	Facility		$0.02	$0.21	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.21	Professional		$0.02	$0.02	$0.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $23,442.29 / $64,565.42	Facility		$10,471.29	$23,442.29	$64,565.42
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02