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 $529.52 / $529.52 / $10,798.05	Facility		$529.52	$529.52	$10,798.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.52 / $2,902.58 / $2,902.58	Professional		$529.52	$2,902.58	$2,902.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $529.52 / $529.52 / $529.52	Facility		$529.52	$529.52	$529.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $529.52 / $529.52 / $529.52	Professional		$529.52	$529.52	$529.52