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 $775.74 / $775.74 / $10,798.05	Facility		$775.74	$775.74	$10,798.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.74 / $2,818.67 / $2,818.67	Professional		$775.74	$2,818.67	$2,818.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $775.74 / $775.74 / $775.74	Facility		$775.74	$775.74	$775.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $775.74 / $775.74 / $775.74	Professional		$775.74	$775.74	$775.74