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 $6.84 / $6.84 / $6.84	Professional		$6.84	$6.84	$6.84