Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $96.62 / $455.29	Facility		$45.97	$96.62	$455.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $87.35 / $165.96	Professional		$74.73	$87.35	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $124.50 / $155.63	Professional		$87.12	$124.50	$155.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $181.20 / $299.00	Professional		$175.00	$181.20	$299.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $88.22 / $147.62	Facility		$87.35	$88.22	$147.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $127.99 / $245.52	Facility		$111.60	$127.99	$245.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $149.03 / $158.08	Professional		$140.27	$149.03	$158.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Facility		$46.00	$46.00	$46.00