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 $210.26 / $6,338.00 / $10,336.04	Facility		$210.26	$6,338.00	$10,336.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $257.42 / $456.13	Professional		$127.64	$257.42	$456.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.26 / $279.01 / $431.73	Facility		$210.26	$279.01	$431.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $253.72 / $431.73	Professional		$185.11	$253.72	$431.73
United Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $245.99 / $366.70	Professional		$122.33	$245.99	$366.70