Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $2,912.34 / $16,383.28	Facility		$202.14	$2,912.34	$16,383.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $103.78 / $272.41	Professional		$66.30	$103.78	$272.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.41 / $139.26 / $1,623.00	Facility		$81.41	$139.26	$1,623.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $31.79 / $31.79 / $31.79	Facility	AS	$31.79	$31.79	$31.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $152.84 / $213.78	Facility		$121.58	$152.84	$213.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00