Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.73 / $782.73 / $782.73	Facility		$782.73	$782.73	$782.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,133.09 / $1,354.73 / $2,077.25	Professional		$1,133.09	$1,354.73	$2,077.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $752.63 / $975.40 / $975.40	Facility		$752.63	$975.40	$975.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.15 / $1,133.09 / $1,264.41	Professional		$239.15	$1,133.09	$1,264.41