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 $41.69 / $63.10 / $79.43	Facility		$41.69	$63.10	$79.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $758.58 / $2,137.96	Facility		$181.97	$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