Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $102.00 / $301.50	Facility		$67.00	$102.00	$301.50
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 $77.23 / $98.85 / $129.04	Facility		$77.23	$98.85	$129.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $322.56 / $656.64	Facility		$69.56	$322.56	$656.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $18,170.00 / $40,290.00	Facility		$45.25	$18,170.00	$40,290.00