Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $954.99	Facility		$457.09	$776.25	$954.99
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $6,606.93	Facility		$2,570.40	$4,897.79	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $1,148.15	Facility		$346.74	$501.19	$1,148.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $18,197.01	Facility		$741.31	$741.31	$18,197.01