Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,570.40 / $6,760.83	Facility		$275.42	$2,570.40	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $1,096.48	Professional		$169.82	$257.04	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $7,413.10	Facility		$275.42	$426.58	$7,413.10
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $489.78	Professional		$389.05	$426.58	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $10,232.93	Facility		$4,786.30	$7,079.46	$10,232.93