Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $459.00 / $563.00	Professional		$150.00	$459.00	$563.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,244.80	Professional		$4,800.00	$4,800.00	$6,244.80
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,244.80	Professional		$4,800.00	$4,800.00	$6,244.80