Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $1,768.92 / $2,722.00	Facility		$933.00	$1,768.92	$2,722.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $900.00 / $2,059.00	Facility		$342.00	$900.00	$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 $952.00 / $1,600.00 / $15,417.64	Facility		$952.00	$1,600.00	$15,417.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,542.00 / $1,877.36	Facility		$725.00	$1,542.00	$1,877.36
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,660.00 / $13,765.65	Facility		$888.00	$1,660.00	$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