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 $251.65 / $462.48 / $673.62	Facility		$251.65	$462.48	$673.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $212.93 / $289.97	Facility		$180.48	$212.93	$289.97