Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $453.91 / $506.54 / $565.07	Professional		$453.91	$506.54	$565.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $628.00 / $628.00	Facility		$100.00	$628.00	$628.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.21 / $535.84 / $568.50	Professional		$503.21	$535.84	$568.50