Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $100.00	Professional		$16.44	$16.44	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.89 / $29.81	Professional		$11.00	$16.89	$29.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.76 / $27.20	Professional		$11.00	$16.76	$27.20