Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $4.51 / $118.85	Facility		$1.23	$4.51	$118.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.65 / $6.38	Professional		$0.65	$1.65	$6.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.70 / $0.80	Professional		$0.64	$0.70	$0.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.65 / $11.38	Professional		$0.46	$0.65	$11.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $1.00 / $53.92	Facility		$0.74	$1.00	$53.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $1.00	Professional		$0.71	$0.71	$1.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.81 / $1.00	Facility		$0.71	$0.81	$1.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.75 / $1.15	Professional		$0.42	$0.75	$1.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,432.89 / $37,157.71 / $64,181.47	Facility		$4,432.89	$37,157.71	$64,181.47
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.66	Professional		$0.65	$0.65	$0.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.71 / $0.71	Facility		$0.71	$0.71	$0.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $0.71	Professional		$0.71	$0.71	$0.71