Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.71 / $1,651.71 / $1,651.71	Professional		$1,651.71	$1,651.71	$1,651.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $454.24 / $454.24 / $454.24	Facility		$454.24	$454.24	$454.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $473.78 / $473.78	Professional		$454.24	$473.78	$473.78