Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $1,750.00 / $2,240.31	Facility		$933.00	$1,750.00	$2,240.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $991.00 / $2,059.00	Facility		$342.00	$991.00	$2,059.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $560.00 / $560.00	Facility		$150.00	$560.00	$560.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,542.00 / $14,316.38	Facility		$917.71	$1,542.00	$14,316.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,116.00 / $1,553.00	Facility		$725.00	$1,116.00	$1,553.00
United Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $1,516.00 / $13,765.65	Facility		$818.00	$1,516.00	$13,765.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,327.00 / $18,170.00	Facility		$541.00	$1,327.00	$18,170.00