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 $60.50 / $60.50 / $60.50	Facility		$60.50	$60.50	$60.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $211.71 / $1,077.72 / $2,193.94	Facility		$211.71	$1,077.72	$2,193.94
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