Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.25 / $960.94 / $6,408.00	Facility		$456.25	$960.94	$6,408.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.00 / $712.00 / $712.00	Facility		$712.00	$712.00	$712.00
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 $675.00 / $1,137.00 / $5,000.00	Facility		$675.00	$1,137.00	$5,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,545.50 / $4,906.50 / $6,426.00	Facility		$2,545.50	$4,906.50	$6,426.00
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $1,137.00 / $1,137.00	Facility		$675.00	$1,137.00	$1,137.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $733.12 / $928.00 / $928.00	Facility		$733.12	$928.00	$928.00