Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $6,760.83	Facility		$630.96	$3,548.13	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $4,897.79	Professional		$758.58	$1,479.11	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $24,547.09	Facility		$1,513.56	$4,786.30	$24,547.09
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	AS	$1,698.24	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Professional		$1,698.24	$1,995.26	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $21,379.62	Facility		$8,511.38	$11,748.98	$21,379.62