Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $137.90 / $838.95	Facility		$0.39	$137.90	$838.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $23.17 / $73.00	Professional		$0.15	$23.17	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.21	Professional		$0.15	$0.16	$0.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $1.97	Professional		$0.15	$0.15	$1.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.52 / $2.54	Facility		$0.17	$0.52	$2.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $1.00	Professional		$0.15	$0.15	$1.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.17 / $0.28	Facility		$0.15	$0.17	$0.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.18 / $0.26	Professional		$0.15	$0.18	$0.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $572.44 / $3,386.88 / $6,894.73	Facility		$572.44	$3,386.88	$6,894.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.50	Professional		$0.27	$0.27	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.17	Professional		$0.15	$0.15	$0.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.15 / $0.15	Professional		$0.12	$0.15	$0.15