Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.42 / $500.00 / $627.83	Facility		$345.42	$500.00	$627.83
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 $2,560.00 / $2,560.00 / $4,000.00	Facility		$2,560.00	$2,560.00	$4,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $500.00 / $952.00	Facility		$185.00	$500.00	$952.00
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