Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $216.00 / $491.93	Facility		$16.55	$216.00	$491.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $222.00 / $233.50 / $264.60	Facility	25	$222.00	$233.50	$264.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $23.67 / $134.44	Professional		$10.67	$23.67	$134.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $36.02 / $58.33	Facility		$10.26	$36.02	$58.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $30.00 / $53.80	Facility		$16.50	$30.00	$53.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $567.00	Facility		$210.00	$210.00	$567.00