Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $7.54 / $58.97	Facility		$3.43	$7.54	$58.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.54 / $5.38	Professional		$1.81	$3.54	$5.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.34	Professional		$1.88	$1.88	$2.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.81 / $15.16	Professional		$1.66	$1.81	$15.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.34 / $4.51	Facility		$1.88	$2.34	$4.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.02 / $2.70	Professional		$2.00	$2.02	$2.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.34 / $2.65	Facility		$2.00	$2.34	$2.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.43 / $4.34	Professional		$1.47	$2.43	$4.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,948.79 / $40,849.41 / $70,558.05	Facility		$8,948.79	$40,849.41	$70,558.05
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.85	Professional		$1.81	$1.81	$1.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02