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 $10,401.00 / $10,401.00 / $10,401.00	Facility		$10,401.00	$10,401.00	$10,401.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.16 / $8,152.59 / $16,596.37	Facility		$1,166.16	$8,152.59	$16,596.37
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