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 $2,207.53 / $2,262.46 / $30,455.00	Facility		$2,207.53	$2,262.46	$30,455.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $525.29 / $1,669.08 / $3,397.77	Facility		$525.29	$1,669.08	$3,397.77
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