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 $1,214.01 / $1,214.01 / $1,214.01	Facility		$1,214.01	$1,214.01	$1,214.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,214.01 / $4,745.25 / $4,745.25	Professional		$1,214.01	$4,745.25	$4,745.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,214.01 / $1,214.01 / $1,214.01	Facility		$1,214.01	$1,214.01	$1,214.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,214.01 / $1,214.01 / $1,214.01	Professional		$1,214.01	$1,214.01	$1,214.01