Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,583.72 / $3,084.00	Facility		$790.00	$1,583.72	$3,084.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $927.00 / $2,059.00	Facility		$275.00	$927.00	$2,059.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,616.00 / $15,417.64	Facility		$917.71	$1,616.00	$15,417.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.00 / $4,354.50 / $6,426.00	Facility		$1,070.00	$4,354.50	$6,426.00
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,801.00 / $17,388.80	Facility		$888.00	$1,801.00	$17,388.80
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