Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $6,760.83	Facility		$66.07	$2,511.89	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $380.19	Professional		$40.74	$83.18	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $1,621.81	Facility		$66.07	$125.89	$1,621.81
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	AS	$19.95	$19.95	$19.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $186.21	Professional		$97.72	$128.82	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13