Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.25 / $1,049.25 / $1,049.25	Facility		$1,049.25	$1,049.25	$1,049.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.91 / $485.91 / $485.91	Professional		$485.91	$485.91	$485.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $16.60	Facility		$15.04	$15.04	$16.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $15.04 / $20.74	Professional		$12.62	$15.04	$20.74