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 $10.47 / $37.15 / $66.07	Facility		$10.47	$37.15	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,951.21 / $8,317.64	Facility		$977.24	$2,951.21	$8,317.64
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