Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $9.90 / $99.07	Facility		$1.48	$9.90	$99.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.52 / $5.35	Professional		$1.38	$1.52	$5.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.02	Professional		$1.61	$1.61	$2.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.38 / $4.55	Professional		$1.12	$1.38	$4.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.24 / $60.73	Facility		$1.00	$2.24	$60.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.39 / $1.88	Professional		$1.05	$1.39	$1.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.58 / $1.88	Facility		$1.00	$1.58	$1.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.10 / $1.88	Professional		$0.88	$1.10	$1.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $246.29 / $5,153.47 / $8,901.44	Facility		$246.29	$5,153.47	$8,901.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.42 / $1.64	Professional		$1.38	$1.42	$1.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32