Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $9.53 / $129.22	Facility		$0.40	$9.53	$129.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.40 / $35.29	Professional		$0.15	$0.40	$35.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.14	Professional		$0.11	$0.14	$0.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.22 / $4.55	Professional		$0.15	$0.22	$4.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $8.64 / $33.61	Facility		$0.19	$8.64	$33.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.28	Professional		$0.15	$0.16	$0.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.19 / $1.00	Facility		$0.14	$0.19	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.19 / $0.31	Professional		$0.14	$0.19	$0.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,297.29 / $9,982.19 / $17,241.95	Facility		$3,297.29	$9,982.19	$17,241.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.16 / $0.16	Facility		$0.16	$0.16	$0.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.16	Professional		$0.16	$0.16	$0.16