Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $9.52 / $341.83	Facility		$4.59	$9.52	$341.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $9.52 / $96.80	Professional		$2.47	$9.52	$96.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.99 / $4.72	Professional		$2.47	$2.99	$4.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $6.01 / $143.29	Professional		$2.47	$6.01	$143.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $4.72 / $11.44	Facility		$2.11	$4.72	$11.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.93 / $535.00	Professional		$2.11	$2.93	$535.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $4.53 / $5.59	Facility		$3.17	$4.53	$5.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.72 / $6.16	Professional		$3.31	$4.72	$6.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,415.60 / $22,519.80 / $64,181.47	Facility		$4,415.60	$22,519.80	$64,181.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.80 / $10.10	Professional		$2.93	$4.80	$10.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.54 / $36.11	Professional		$2.47	$2.54	$36.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.31 / $2.31	Professional		$1.82	$2.31	$2.31