Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $237.75 / $237.75	Professional		$155.18	$237.75	$237.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $42.55	Professional		$23.03	$27.09	$42.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.46 / $237.75 / $401.80	Facility		$198.46	$237.75	$401.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $193.76 / $205.51	Professional		$182.61	$193.76	$205.51