Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.71 / $140.71 / $140.71	Facility		$140.71	$140.71	$140.71
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 $27.85 / $100.16 / $2,046.00	Facility		$27.85	$100.16	$2,046.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $1,026.06 / $2,088.78	Facility		$82.18	$1,026.06	$2,088.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,170.00 / $28,440.00 / $40,290.00	Facility		$18,170.00	$28,440.00	$40,290.00