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 $853.86 / $1,377.31 / $2,590.26	Facility		$853.86	$1,377.31	$2,590.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $698.61 / $853.86 / $1,086.73	Facility		$698.61	$853.86	$1,086.73