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 $6.01 / $41.83 / $289.85	Facility		$6.01	$41.83	$289.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,839.23 / $30,276.74 / $52,296.14	Facility		$5,839.23	$30,276.74	$52,296.14
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