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 $87.10 / $87.10 / $89.13	Facility		$87.10	$87.10	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $338.84 / $338.84	Professional		$87.10	$338.84	$338.84