Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $322.00 / $522.00	Facility		$186.00	$322.00	$522.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $260.00 / $300.00	Facility		$185.00	$260.00	$300.00
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 $2,066.00 / $2,066.00 / $2,066.00	Facility		$2,066.00	$2,066.00	$2,066.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $287.00 / $511.00	Facility		$145.00	$287.00	$511.00
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