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 $1,416.70 / $1,416.70 / $1,416.70	Facility		$1,416.70	$1,416.70	$1,416.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Professional		$405.00	$405.00	$405.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40