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 $437.57 / $437.57 / $437.57	Facility		$437.57	$437.57	$437.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Professional		$586.87	$586.87	$586.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $310.43 / $310.43	Professional		$186.26	$310.43	$310.43