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 $1.84 / $3.62 / $51.50	Facility		$1.84	$3.62	$51.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.96 / $4,492.50 / $9,145.44	Facility		$1,045.96	$4,492.50	$9,145.44
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