Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,453.27 / $3,453.27 / $3,453.27	Facility	50	$3,453.27	$3,453.27	$3,453.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.16 / $1,265.86 / $2,046.84	Professional		$729.16	$1,265.86	$2,046.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.92 / $2,131.76 / $15,214.55	Facility		$1,200.92	$2,131.76	$15,214.55
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 $1,295.00 / $2,290.17 / $4,945.14	Facility		$1,295.00	$2,290.17	$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