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 $1,020.26 / $5,945.51 / $10,460.00	Facility		$1,020.26	$5,945.51	$10,460.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $971.14 / $3,520.09 / $7,165.91	Facility		$971.14	$3,520.09	$7,165.91
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