Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $31.34 / $173.25	Facility		$0.68	$31.34	$173.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.56 / $34.40	Professional		$0.35	$0.56	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.57 / $1.21	Professional		$0.34	$0.57	$1.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $4.97 / $47.11	Professional		$0.36	$4.97	$47.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.78 / $35.04	Facility		$0.45	$0.78	$35.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.50 / $514.89	Professional		$0.45	$0.50	$514.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.77 / $25.00	Facility		$0.60	$0.77	$25.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.21 / $27.12	Professional		$0.60	$1.21	$27.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,809.12 / $18,212.70 / $50,995.56	Facility		$8,809.12	$18,212.70	$50,995.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.64 / $34.90	Professional		$0.36	$0.64	$34.90
United Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.37 / $0.43	Professional		$0.36	$0.37	$0.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Facility		$0.45	$0.45	$0.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $0.45	Professional		$0.36	$0.45	$0.45