Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $38.02 / $117.49	Facility		$1.32	$38.02	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.12 / $91.20	Professional		$1.07	$1.12	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.47	Professional		$0.38	$0.38	$0.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $12.02 / $151.36	Professional		$0.14	$12.02	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.89 / $1.66	Facility		$0.38	$0.89	$1.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.79 / $1.00	Professional		$0.54	$0.79	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $0.95	Professional		$0.42	$0.42	$0.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $104,712.85 / $141,253.75	Facility		$24,547.09	$104,712.85	$141,253.75
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $0.76	Professional		$0.71	$0.71	$0.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Facility		$0.79	$0.79	$0.79