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 $532.51 / $532.51 / $725.68	Facility		$532.51	$532.51	$725.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $921.93 / $2,363.79 / $4,811.93	Facility		$921.93	$2,363.79	$4,811.93
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