Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $149.00 / $287.10	Facility		$149.00	$149.00	$287.10
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 $146.44 / $378.49 / $1,153.34	Facility		$146.44	$378.49	$1,153.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $500.00	Facility		$460.00	$460.00	$500.00
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