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 $41.77 / $62.87 / $79.41	Facility		$41.77	$62.87	$79.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $180.29 / $1,071.00 / $2,180.28	Facility		$180.29	$1,071.00	$2,180.28
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