Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Facility		$75.86	$75.86	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $295.12 / $295.12	Professional		$75.86	$295.12	$295.12