Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $229.09 / $489.78	Facility		$15.85	$229.09	$489.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $234.42 / $263.03 / $263.03	Facility	25	$234.42	$263.03	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $27.54 / $141.25	Professional		$10.72	$27.54	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $33.11 / $58.88	Facility		$10.00	$33.11	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $40.74	Professional		$16.60	$30.20	$40.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $562.34	Facility		$208.93	$208.93	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09