Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1.35 / $74.69	Facility		$0.02	$1.35	$74.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.12 / $0.12	Professional		$0.02	$0.12	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.05	Professional		$0.02	$0.04	$0.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.80 / $3.00	Professional		$0.02	$1.80	$3.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.12 / $5.62	Facility		$0.02	$0.12	$5.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $4.95 / $530.00	Professional		$0.02	$4.95	$530.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.06	Professional		$0.02	$0.02	$0.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $501.63 / $1,941.75 / $5,533.99	Facility		$501.63	$1,941.75	$5,533.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.10 / $0.50	Professional		$0.02	$0.10	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.15	Professional		$0.02	$0.02	$5.15