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 $4.37 / $4.57 / $8.51	Facility		$4.37	$4.57	$8.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $758.58 / $2,137.96	Facility		$281.84	$758.58	$2,137.96
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