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 $98.69 / $98.69 / $98.69	Facility		$98.69	$98.69	$98.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $521.98 / $1,684.83 / $3,429.84	Facility		$521.98	$1,684.83	$3,429.84
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