Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $14.98 / $98.40	Facility		$2.31	$14.98	$98.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.37 / $43.18	Professional		$0.99	$1.37	$43.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.15 / $1.41	Professional		$1.12	$1.15	$1.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.09 / $4.40	Professional		$0.87	$1.09	$4.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $20.11 / $45.33	Facility		$1.24	$20.11	$45.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.10 / $1.55	Professional		$1.00	$1.10	$1.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.24 / $1.50	Facility		$1.00	$1.24	$1.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.20 / $1.90	Professional		$0.94	$1.20	$1.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.47 / $16,036.13 / $27,698.69	Facility		$1,492.47	$16,036.13	$27,698.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.11 / $1.30	Professional		$1.09	$1.11	$1.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00