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 $1,400.00 / $1,400.00 / $1,400.00	Facility		$1,400.00	$1,400.00	$1,400.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.30 / $227.22 / $462.56	Facility		$162.30	$227.22	$462.56
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