Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $449.92 / $603.60	Facility		$288.00	$449.92	$603.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $400.00 / $650.90	Professional		$340.00	$400.00	$650.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $89.21 / $4,055.10	Facility		$57.93	$89.21	$4,055.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,314.44 / $19,567.14 / $41,230.75	Facility		$6,314.44	$19,567.14	$41,230.75