Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $5.66 / $51.94	Facility		$5.66	$5.66	$51.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.66 / $10.00	Professional		$3.11	$5.66	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $4.69	Professional		$3.75	$3.75	$4.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.30 / $26.17	Professional		$3.11	$3.30	$26.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.37 / $5.66	Facility		$3.00	$4.37	$5.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $5.40	Professional		$3.04	$3.04	$5.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.32 / $5.30	Facility		$3.00	$4.32	$5.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.37 / $8.19	Professional		$2.92	$4.37	$8.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $561.08 / $9,716.90 / $16,783.70	Facility		$561.08	$9,716.90	$16,783.70
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.17	Professional		$3.11	$3.11	$3.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04