Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.40 / $362.62	Facility		$0.15	$0.40	$362.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $70.00	Professional		$0.08	$0.10	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.08 / $0.12	Professional		$0.04	$0.08	$0.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.74 / $16.53	Professional		$0.08	$0.74	$16.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.15 / $1.00	Facility		$0.09	$0.15	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $774.41	Professional		$0.09	$0.11	$774.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.10 / $0.90	Facility		$0.06	$0.10	$0.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.12 / $1.06	Professional		$0.06	$0.12	$1.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $373.10 / $5,038.80 / $14,360.65	Facility		$373.10	$5,038.80	$14,360.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.15 / $24.60	Professional		$0.08	$0.15	$24.60
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $2.67	Professional		$0.08	$0.08	$2.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $0.10	Professional		$0.08	$0.10	$0.10