Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.80 / $17.26	Facility		$0.45	$0.80	$17.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $448.62 / $5,238.24 / $10,663.58	Facility		$448.62	$5,238.24	$10,663.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,170.00 / $28,440.00 / $40,290.00	Facility		$18,170.00	$28,440.00	$40,290.00