Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.22 / $354.00 / $773.50	Facility		$305.22	$354.00	$773.50
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 $250.00 / $300.00 / $345.00	Facility		$250.00	$300.00	$345.00
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