Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $14.53 / $90.65	Facility		$0.90	$14.53	$90.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.90 / $91.14	Professional		$0.72	$0.90	$91.14
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 / $11.89 / $13.94	Professional		$0.14	$11.89	$13.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.90 / $1.57	Facility		$0.38	$0.90	$1.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.80 / $0.96	Professional		$0.54	$0.80	$0.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.54 / $0.96	Facility		$0.38	$0.54	$0.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.57 / $1.00	Professional		$0.37	$0.57	$1.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,313.83 / $81,587.74 / $140,924.23	Facility		$6,313.83	$81,587.74	$140,924.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.77	Professional		$0.75	$0.75	$0.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80