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 $10,808.92 / $10,808.92 / $11,429.07	Facility		$10,808.92	$10,808.92	$11,429.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,808.92 / $10,808.92 / $10,808.92	Professional		$10,808.92	$10,808.92	$10,808.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,808.92 / $10,808.92 / $10,808.92	Facility		$10,808.92	$10,808.92	$10,808.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,808.92 / $10,808.92 / $10,808.92	Professional		$10,808.92	$10,808.92	$10,808.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,000.00 / $9,000.00 / $9,000.00	Professional		$9,000.00	$9,000.00	$9,000.00