Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $34.95 / $150.00	Professional		$34.95	$34.95	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $72.45 / $105.54	Facility		$54.75	$72.45	$105.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $61.44 / $84.62	Facility		$52.67	$61.44	$84.62