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 $361.38 / $361.38 / $373.59	Facility		$361.38	$361.38	$373.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.38 / $361.38 / $361.38	Professional		$361.38	$361.38	$361.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.38 / $361.38 / $361.38	Facility		$361.38	$361.38	$361.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.38 / $361.38 / $361.38	Professional		$361.38	$361.38	$361.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.89 / $300.89 / $300.89	Professional		$300.89	$300.89	$300.89