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 $42.66 / $42.66 / $66.07	Facility		$42.66	$42.66	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $436.52 / $1,230.27	Facility		$70.79	$436.52	$1,230.27
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