Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $1,060.57 / $1,060.57	Professional		$818.00	$1,060.57	$1,060.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $826.46 / $921.95	Professional		$740.58	$826.46	$921.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.48 / $1,060.57 / $1,792.36	Facility		$901.48	$1,060.57	$1,792.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $234.53 / $248.83	Professional		$220.22	$234.53	$248.83