Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Facility		$537.03	$537.03	$724.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $4,677.35	Facility		$954.99	$1,698.24	$4,677.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $28,183.83 / $40,738.03	Facility		$18,197.01	$28,183.83	$40,738.03