Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $1,771.00 / $6,871.00	Facility		$1,482.00	$1,771.00	$6,871.00
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 $1,137.00 / $1,225.00 / $5,000.00	Facility		$1,137.00	$1,225.00	$5,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,137.00 / $1,137.00 / $1,225.00	Facility		$1,137.00	$1,137.00	$1,225.00
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