Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,919.43 / $4,919.43 / $4,919.43	Facility		$4,919.43	$4,919.43	$4,919.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $491.94 / $491.94 / $491.94	Facility	AS	$491.94	$491.94	$491.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,797.24 / $2,146.17 / $2,714.37	Facility		$1,797.24	$2,146.17	$2,714.37