Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,511.89 / $6,760.83	Facility		$131.83	$2,511.89	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $741.31	Professional		$83.18	$147.91	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $1,621.81	Facility		$131.83	$234.42	$1,621.81
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	AS	$40.74	$40.74	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $316.23	Professional		$194.98	$239.88	$316.23
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