Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $29.62 / $89.03	Facility		$14.26	$29.62	$89.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.43 / $16.38	Professional		$9.11	$12.43	$16.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $12.56 / $15.70	Professional		$12.56	$12.56	$15.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.19 / $26.17	Professional		$9.34	$11.19	$26.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $18.19 / $71.33	Facility		$5.84	$18.19	$71.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.44 / $17.05	Professional		$8.22	$9.44	$17.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $11.34 / $18.19	Facility		$5.15	$11.34	$18.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $10.48 / $17.82	Professional		$5.84	$10.48	$17.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,572.46 / $10,781.64 / $18,622.80	Facility		$1,572.46	$10,781.64	$18,622.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.53	Professional		$11.19	$11.19	$11.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44