Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,265.80 / $11,220.18	Facility		$954.99	$4,265.80	$11,220.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $3,019.95	Professional		$676.08	$1,445.44	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $31,622.78	Facility		$1,000.00	$2,754.23	$31,622.78
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility	AS	$4,570.88	$4,570.88	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $3,019.95	Professional		$1,148.15	$2,570.40	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,772.37 / $34,673.69	Facility		$5,495.41	$9,772.37	$34,673.69