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 $8.48 / $95.40 / $734.60	Facility		$8.48	$95.40	$734.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,462.26 / $18,881.82 / $32,614.02	Facility		$3,462.26	$18,881.82	$32,614.02
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