Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $234.42	Professional		$117.49	$234.42	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $32.36	Professional		$22.91	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Facility		$239.88	$239.88	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $630.96	Professional		$478.63	$537.03	$630.96