Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,170.00 / $4,033.00 / $8,042.03	Facility		$2,170.00	$4,033.00	$8,042.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,687.90 / $9,612.83 / $9,612.83	Facility	50	$3,687.90	$9,612.83	$9,612.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.65 / $1,242.65 / $2,265.56	Professional		$700.65	$1,242.65	$2,265.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.84 / $2,427.17 / $20,174.96	Facility		$1,584.84	$2,427.17	$20,174.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,706.64 / $1,706.64 / $1,706.64	Facility	AS	$1,706.64	$1,706.64	$1,706.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,396.37 / $2,103.94 / $5,859.83	Facility		$1,396.37	$2,103.94	$5,859.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22