Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.42 / $7,924.32 / $17,384.84	Facility		$1,512.42	$7,924.32	$17,384.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,625.24 / $3,079.48	Professional		$993.29	$1,625.24	$3,079.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,625.24 / $8,505.44 / $10,565.76	Facility		$1,625.24	$8,505.44	$10,565.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,625.24 / $1,625.24 / $3,627.79	Professional		$1,625.24	$1,625.24	$3,627.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,046.32 / $5,692.13 / $11,035.50	Professional		$5,046.32	$5,692.13	$11,035.50
United Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,533.53 / $2,968.38	Professional		$993.29	$1,533.53	$2,968.38