Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.64 / $770.58 / $1,157.00	Facility		$589.64	$770.58	$1,157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,181.00 / $1,181.00 / $1,181.00	Facility		$1,181.00	$1,181.00	$1,181.00
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 $413.00 / $1,242.00 / $1,500.00	Facility		$413.00	$1,242.00	$1,500.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $418.00 / $1,491.00	Facility		$275.00	$418.00	$1,491.00
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