Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.53 / $24.25	Facility		$1.66	$3.53	$24.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $2.72 / $5.73	Professional		$1.01	$2.72	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.80 / $0.84	Professional		$0.68	$0.80	$0.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.01 / $14.85	Professional		$0.81	$1.01	$14.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.65 / $3.53	Facility		$0.80	$1.65	$3.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.95 / $2.22	Professional		$0.82	$0.95	$2.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.13 / $2.46	Facility		$0.80	$1.13	$2.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.91 / $4.40	Professional		$0.80	$1.91	$4.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $2,607.94 / $3,811.61	Facility		$88.85	$2,607.94	$3,811.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.04	Professional		$1.01	$1.01	$1.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Facility		$0.95	$0.95	$0.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95