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 $1,559.60 / $1,559.60 / $1,559.60	Facility		$1,559.60	$1,559.60	$1,559.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $544.91 / $4,605.51 / $7,954.95	Facility		$544.91	$4,605.51	$7,954.95
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