Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $911.93 / $1,883.00	Facility		$490.00	$911.93	$1,883.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $570.00 / $711.00	Facility		$570.00	$570.00	$711.00
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 $929.00 / $1,154.00 / $5,000.00	Facility		$929.00	$1,154.00	$5,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.21 / $4,578.00 / $6,426.00	Facility		$1,275.21	$4,578.00	$6,426.00
United Facility/Professional Facility Modifier Low / Median / High Price $929.00 / $1,137.00 / $1,154.00	Facility		$929.00	$1,137.00	$1,154.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $733.12 / $928.00 / $928.00	Facility		$733.12	$928.00	$928.00