Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $168.23 / $168.23	Facility		$136.34	$168.23	$168.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
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 $119.98 / $131.66 / $213.76	Facility		$119.98	$131.66	$213.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $123.00 / $130.55	Professional		$115.08	$123.00	$130.55