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 $146.29 / $207.56 / $320.45	Facility		$146.29	$207.56	$320.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $790.68 / $4,136.10 / $7,144.17	Facility		$790.68	$4,136.10	$7,144.17
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