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 $867.51 / $867.51 / $13,880.20	Facility		$867.51	$867.51	$13,880.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $2,992.99 / $2,992.99	Professional		$867.51	$2,992.99	$2,992.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.51 / $867.51 / $867.51	Facility		$867.51	$867.51	$867.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $867.51 / $867.51	Professional		$867.51	$867.51	$867.51