Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.62 / $1,364.00 / $7,841.60	Professional		$951.62	$1,364.00	$7,841.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,358.46 / $2,854.98 / $7,305.00	Facility		$1,358.46	$2,854.98	$7,305.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,380.00 / $4,380.00 / $4,380.00	Professional		$4,380.00	$4,380.00	$4,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00