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 $132.31 / $132.31 / $213.19	Facility		$132.31	$132.31	$213.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.12 / $4,752.20 / $9,674.15	Facility		$1,655.12	$4,752.20	$9,674.15
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