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 $4.38 / $4.55 / $8.49	Facility		$4.38	$4.55	$8.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $285.06 / $1,262.73 / $2,181.06	Facility		$285.06	$1,262.73	$2,181.06
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