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 $86.09 / $86.09 / $97.68	Facility		$86.09	$86.09	$97.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $265.86 / $541.22	Facility		$135.13	$265.86	$541.22
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