Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.79 / $17.38	Facility		$0.45	$0.79	$17.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,715.35 / $10,471.29	Facility		$446.68	$3,715.35	$10,471.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $28,183.83 / $40,738.03	Facility		$18,197.01	$28,183.83	$40,738.03