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 $5.25 / $50.54 / $137.41	Facility		$5.25	$50.54	$137.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $394.71 / $1,482.18 / $3,017.33	Facility		$394.71	$1,482.18	$3,017.33
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