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 $67.02 / $212.13 / $324.47	Facility		$67.02	$212.13	$324.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $3,125.64 / $6,362.94	Facility		$621.90	$3,125.64	$6,362.94
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