Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $29.75 / $153.01	Facility		$3.01	$29.75	$153.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.90 / $6.48	Professional		$1.26	$1.90	$6.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.40 / $1.59	Professional		$1.28	$1.40	$1.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.26 / $7.99	Professional		$0.91	$1.26	$7.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.68 / $75.42	Facility		$1.00	$1.68	$75.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.38 / $1.92	Professional		$1.17	$1.38	$1.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.59 / $1.88	Facility		$1.00	$1.59	$1.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.50 / $2.31	Professional		$0.83	$1.50	$2.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $472.74 / $816.54	Facility		$56.71	$472.74	$816.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.29	Professional		$1.26	$1.26	$1.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Facility		$1.38	$1.38	$1.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38