Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $5,390.00 / $10,506.16	Facility		$2,301.60	$5,390.00	$10,506.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,433.78 / $5,433.78 / $11,149.11	Facility	50	$5,433.78	$5,433.78	$11,149.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.28 / $1,135.17 / $1,886.93	Professional		$743.28	$1,135.17	$1,886.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,211.36 / $2,111.44 / $15,214.55	Facility		$1,211.36	$2,111.44	$15,214.55
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.33 / $0.33 / $0.33	Facility	50	$0.33	$0.33	$0.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,255.00 / $2,307.46 / $4,945.14	Facility		$1,255.00	$2,307.46	$4,945.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99