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 $1,437.08 / $2,816.00 / $3,311.17	Facility		$1,437.08	$2,816.00	$3,311.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,107.08 / $15,529.20 / $26,823.12	Facility		$1,107.08	$15,529.20	$26,823.12
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