Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $5.56 / $287.10	Facility		$3.75	$5.56	$287.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.86 / $64.22	Professional		$1.99	$3.86	$64.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.25 / $3.40	Professional		$1.99	$2.25	$3.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.03 / $9.88	Professional		$1.99	$3.03	$9.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.90 / $5.40	Facility		$1.72	$2.90	$5.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.04 / $60.42	Professional		$1.72	$2.04	$60.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.65 / $3.43	Facility		$2.00	$2.65	$3.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.81 / $3.51	Professional		$2.09	$2.81	$3.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10,727.34 / $28,407.90 / $80,962.56	Facility		$10,727.34	$28,407.90	$80,962.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.40 / $3.90	Professional		$1.99	$3.40	$3.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.04 / $2.39	Professional		$1.99	$2.04	$2.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Facility		$1.88	$1.88	$1.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.88 / $1.88	Professional		$1.49	$1.88	$1.88