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 $197.90 / $197.90 / $197.90	Facility		$197.90	$197.90	$197.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $56.51 / $56.51	Professional		$56.51	$56.51	$56.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40