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 $1,698.05 / $1,698.05 / $1,698.05	Facility		$1,698.05	$1,698.05	$1,698.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00