Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $21.75 / $113.24	Professional		$14.61	$21.75	$113.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $89.70 / $89.70	Facility		$89.70	$89.70	$89.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $75.90 / $96.60	Facility		$62.10	$75.90	$96.60