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 $947.15 / $947.15 / $21,442.45	Facility		$947.15	$947.15	$21,442.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $947.15 / $3,704.20 / $3,704.20	Professional		$947.15	$3,704.20	$3,704.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $947.15 / $947.15 / $947.15	Facility		$947.15	$947.15	$947.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $947.15 / $947.15 / $947.15	Professional		$947.15	$947.15	$947.15