Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $66.50 / $289.55	Facility		$0.17	$66.50	$289.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.14 / $301.49	Professional		$0.09	$0.14	$301.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.14	Professional		$0.08	$0.09	$0.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.16 / $24.77	Professional		$0.09	$0.16	$24.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $1.11 / $3.84	Facility		$0.14	$1.11	$3.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.17	Professional		$0.09	$0.09	$0.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.49	Facility		$0.11	$0.11	$0.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.13 / $0.27	Professional		$0.09	$0.13	$0.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,064.11 / $31,125.64 / $53,762.44	Facility		$6,064.11	$31,125.64	$53,762.44
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09