Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $2,408.73 / $3,597.00	Facility		$477.00	$2,408.73	$3,597.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $875.00 / $1,758.00	Facility		$475.00	$875.00	$1,758.00
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 $999.00 / $2,001.38 / $24,024.10	Facility		$999.00	$2,001.38	$24,024.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,000.00 / $1,126.00	Facility		$702.00	$1,000.00	$1,126.00
United Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,947.00 / $20,013.80	Facility		$917.71	$1,947.00	$20,013.80
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