Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $882.00 / $3,596.15	Facility		$141.15	$882.00	$3,596.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,184.00 / $2,184.00 / $2,184.00	Facility		$2,184.00	$2,184.00	$2,184.00
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 $18.32 / $92.57 / $1,031.00	Facility		$18.32	$92.57	$1,031.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $460.00 / $742.00	Facility		$447.00	$460.00	$742.00
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $835.00 / $1,031.00	Facility		$557.00	$835.00	$1,031.00
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