Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,548.13	Facility		$2,630.27	$2,630.27	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,818.38 / $7,943.28	Facility		$363.08	$2,818.38	$7,943.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $28,183.83 / $40,738.03	Facility		$18,197.01	$28,183.83	$40,738.03