Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $29.70 / $251.29	Facility		$2.99	$29.70	$251.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.99 / $98.55	Professional		$1.10	$1.99	$98.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.98 / $1.08	Professional		$0.86	$0.98	$1.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.10 / $1.99	Professional		$0.88	$1.10	$1.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $25.60 / $75.95	Facility		$1.02	$25.60	$75.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.96 / $1.24	Professional		$0.92	$0.96	$1.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.11 / $1.19	Facility		$0.90	$1.11	$1.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $1.01 / $1.28	Professional		$0.52	$1.01	$1.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,839.23 / $30,276.74 / $52,296.14	Facility		$5,839.23	$30,276.74	$52,296.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.12	Professional		$1.10	$1.10	$1.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96