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 $2,241.51 / $4,157.93 / $25,435.92	Facility		$2,241.51	$4,157.93	$25,435.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,599.21 / $22,207.08 / $45,207.32	Facility		$5,599.21	$22,207.08	$45,207.32
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