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 $624.94 / $624.94 / $51,397.00	Facility		$624.94	$624.94	$51,397.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $624.94 / $2,443.12 / $2,443.12	Professional		$624.94	$2,443.12	$2,443.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.94 / $624.94 / $624.94	Facility		$624.94	$624.94	$624.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.94 / $624.94 / $624.94	Professional		$624.94	$624.94	$624.94