Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $61.47	Facility		$51.12	$51.12	$61.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $303.69 / $530.00	Professional		$25.00	$303.69	$530.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $312.80 / $312.80	Professional		$312.80	$312.80	$312.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00