Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,786.30 / $12,589.25	Facility		$977.24	$4,786.30	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.52 / $1,174.90 / $5,754.40	Facility	50	$0.52	$1,174.90	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $7,762.47	Professional		$1,148.15	$2,511.89	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,128.31 / $43,651.58	Facility		$2,454.71	$8,128.31	$43,651.58
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.33 / $0.33 / $4,570.88	Facility	50	$0.33	$0.33	$4,570.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	AS	$2,884.03	$2,884.03	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $4,786.30	Professional		$2,570.40	$3,090.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $36,307.81	Facility		$8,511.38	$13,489.63	$36,307.81