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 $232.40 / $232.40 / $232.40	Facility		$232.40	$232.40	$232.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40