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 / $95.44 / $140.66	Facility		$90.00	$95.44	$140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $389.95 / $389.95	Professional		$95.44	$389.95	$389.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.44 / $95.44 / $95.44	Facility		$95.44	$95.44	$95.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $100.94 / $132.94	Professional		$95.44	$100.94	$132.94