Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.55 / $555.55 / $555.55	Facility		$555.55	$555.55	$555.55
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $367.08 / $747.27	Facility		$129.50	$367.08	$747.27
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