Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,570.40 / $6,760.83	Facility		$831.76	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,380.38 / $7,762.47	Professional		$316.23	$1,380.38	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $5,888.44	Facility		$1,348.96	$2,570.40	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $6,309.57	Facility		$1,412.54	$3,162.28	$6,309.57