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 $80.94 / $80.94 / $90.00	Facility		$80.94	$80.94	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $335.78 / $335.78	Professional		$80.94	$335.78	$335.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $80.94 / $80.94	Facility		$80.94	$80.94	$80.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $80.94 / $80.94	Professional		$80.94	$80.94	$80.94