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 $112.89 / $145.79 / $2,651.40	Facility		$112.89	$145.79	$2,651.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $774.50 / $3,011.15 / $6,129.85	Facility		$774.50	$3,011.15	$6,129.85
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