Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,554.19 / $4,911.00 / $9,185.68	Facility		$2,554.19	$4,911.00	$9,185.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,164.99 / $3,502.17 / $8,766.68	Facility	50	$1,164.99	$3,502.17	$8,766.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $888.69 / $1,396.92 / $4,136.00	Professional		$888.69	$1,396.92	$4,136.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,317.69 / $2,576.13 / $15,214.55	Facility		$1,317.69	$2,576.13	$15,214.55
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,509.00 / $7,596.28 / $7,598.02	Facility	50	$6,509.00	$7,596.28	$7,598.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,800.17 / $4,945.14	Facility		$1,421.00	$2,800.17	$4,945.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00