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 $569.57 / $569.57 / $140,989.54	Facility		$569.57	$569.57	$140,989.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $569.57 / $2,224.71 / $2,224.71	Professional		$569.57	$2,224.71	$2,224.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $569.57 / $569.57 / $569.57	Facility		$569.57	$569.57	$569.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $569.57 / $569.57 / $569.57	Professional		$569.57	$569.57	$569.57