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 $234.25 / $234.25 / $234.25	Facility		$234.25	$234.25	$234.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $67.50 / $67.50	Professional		$67.50	$67.50	$67.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40