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 $10.42 / $36.78 / $66.45	Facility		$10.42	$36.78	$66.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $894.01 / $4,168.08 / $8,485.03	Facility		$894.01	$4,168.08	$8,485.03
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