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 $90.00 / $95.66 / $95.66	Facility		$90.00	$95.66	$95.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $374.68 / $374.68	Professional		$95.66	$374.68	$374.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.66 / $95.66 / $95.66	Facility		$95.66	$95.66	$95.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $95.66 / $95.66	Professional		$95.66	$95.66	$95.66