Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.35 / $311.14	Facility		$0.24	$0.35	$311.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.36 / $79.80	Professional		$0.14	$0.36	$79.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.19	Professional		$0.11	$0.14	$0.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.25 / $1.00	Professional		$0.14	$0.25	$1.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.19 / $0.44	Facility		$0.11	$0.19	$0.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $85.90	Professional		$0.11	$0.13	$85.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.16 / $0.62	Facility		$0.14	$0.16	$0.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.35	Professional		$0.14	$0.16	$0.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.72 / $2,822.40 / $8,043.87	Facility		$208.72	$2,822.40	$8,043.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.20 / $0.50	Professional		$0.10	$0.20	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $1.27	Professional		$0.14	$0.14	$1.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $0.12	Professional		$0.09	$0.12	$0.12