Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,511.89 / $6,760.83	Facility		$158.49	$2,511.89	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $660.69	Professional		$97.72	$181.97	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $1,348.96	Facility		$158.49	$281.84	$1,348.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	AS	$47.86	$47.86	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $281.84	Professional		$204.17	$257.04	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,344.23	Facility		$831.76	$1,380.38	$2,344.23