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 Professional Modifier Low / Median / High Price $1,893.96 / $1,964.93 / $1,964.93	Professional		$1,893.96	$1,964.93	$1,964.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,893.96 / $1,964.93 / $1,964.93	Professional		$1,893.96	$1,964.93	$1,964.93