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 $2,608.89 / $2,608.89 / $3,520.88	Facility		$2,608.89	$2,608.89	$3,520.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $335.39 / $3,939.18 / $8,019.06	Facility		$335.39	$3,939.18	$8,019.06
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