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 $416.87 / $891.25 / $1,230.27	Facility		$416.87	$891.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27