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 $6,509.35 / $6,509.35 / $6,509.35	Facility		$6,509.35	$6,509.35	$6,509.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.15 / $565.15 / $565.15	Professional		$565.15	$565.15	$565.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $206.91 / $206.91	Professional		$206.91	$206.91	$206.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Professional		$168.10	$168.10	$168.10