Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $184.80 / $480.00	Facility		$0.48	$184.80	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $76.95 / $260.44	Professional		$0.23	$76.95	$260.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.28	Professional		$0.23	$0.23	$0.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.42 / $4.94	Professional		$0.23	$0.42	$4.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.52 / $1.00	Facility		$0.26	$0.52	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.59 / $0.62	Professional		$0.28	$0.59	$0.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.90	Facility		$0.26	$0.28	$0.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.56	Professional		$0.26	$0.28	$0.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $1,833.49 / $3,166.93	Facility		$88.85	$1,833.49	$3,166.93
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.62	Professional		$0.60	$0.60	$0.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22